Individual
DARBY SAMANTHA JALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2480 LIBERTY ST NE STE 110, SALEM, OR 97301-8381
(503) 371-1756
(503) 584-7971
Mailing address
2480 LIBERTY ST NE STE 110, SALEM, OR 97301-8381
(503) 371-1756
(503) 584-7971
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA196335
OR
363AS0400X
Surgical Physician Assistant
PA196335
OR
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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