Individual
LIZA SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2456 NW NORTHRUP ST, SUITE 1A, PORTLAND, OR 97210-3253
(503) 705-5753
Mailing address
2456 NW NORTHRUP ST, SUITE 1A, PORTLAND, OR 97210-3253
(503) 705-5753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22590
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287473
—
OR
Enumeration date
03/15/2006
Last updated
09/12/2012
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