MS. SAMANTHA JOANN DEFREESE NPI 1033754452

NPI Information

NPI: 1033754452
Provider Name: MS. SAMANTHA JOANN DEFREESE
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
2730 SW MOODY AVE
PORTLAND, OR
ZIP 97201
Phone: (503) 494-5121
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MS. Samantha Joann Defreese is a student in an organized health care education training program in Portland, OR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MS. Samantha Joann Defreese NPI is 1033754452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2730 SW MOODY AVE
PORTLAND, OR
ZIP 97201-042
Phone: (503) 494-5121

The enumeration date for this NPI number is 11/8/2019 and was last updated on 11/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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