SAMANTHA WATTENBURG NPI 1740927375

NPI Information

NPI: 1740927375
Provider Name: SAMANTHA WATTENBURG
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
5336 SE BUSH ST STE C
PORTLAND, OR
ZIP 97206
Phone: (503) 475-9131
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Samantha Wattenburg is a home health aide in Portland, OR. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Samantha Wattenburg NPI is 1740927375. 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:

5336 SE BUSH ST STE C
PORTLAND, OR
ZIP 97206-394
Phone: (503) 475-9131

The enumeration date for this NPI number is 5/16/2022 and was last updated on 5/16/2022.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			No
3	101YP1600X	Counselor	Pastoral			No
4	102X00000X	Poetry Therapist				No
5	172A00000X	Driver				No
6	172V00000X	Community Health Worker			OREGON	No
7	172V00000X	Community Health Worker				No
8	175T00000X	Peer Specialist				No
9	363A00000X	Physician Assistant				No
10	372500000X	Chore Provider				No
11	372600000X	Adult Companion				No
12	374U00000X	Home Health Aide		629186	OREGON	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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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