Samuel James Wilmarth 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. Samuel James Wilmarth NPI is 1306412630. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5415 SW WESTGATE DR
PORTLAND, OR
ZIP 97221-409
Phone: (503) 645-3581
The enumeration date for this NPI number is 5/27/2021 and was last updated on 5/27/2021.