Individual
SAMANTHA JO SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
201391395RN
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
202207379NP-PP
OR
Other
Enumeration date
07/29/2022
Last updated
09/12/2025
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