Individual
SAMUEL WILLIAM PACKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
448 N WERTH BLVD, NEWBERG, OR 97132-7500
(503) 538-8383
Mailing address
2957 GLEN EAGLES RD, LAKE OSWEGO, OR 97034-2737
(971) 386-8399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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