Individual
SAMANTHA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 N 10TH AVE STE 200, STAYTON, OR 97383-1487
(503) 769-9118
Mailing address
777 COMMERCIAL ST SE STE 130, SALEM, OR 97301-0060
(520) 275-6330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA175938
OR
363AM0700X
Medical Physician Assistant
6296
AZ
Other
Enumeration date
11/23/2015
Last updated
04/12/2023
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