Individual
SAMANTHA BLOMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3225 HILLCREST PARK DR, MEDFORD, OR 97504-7657
(541) 774-5700
(541) 774-5700
Mailing address
3225 HILLCREST PARK DR, MEDFORD, OR 97504-7657
(541) 774-5700
(541) 774-5700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10028973
OR
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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