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Individual

SAMANTHA PINTO CONSOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
IL
363AM0700X
Medical Physician Assistant
Primary
PA213122
OR
363AS0400X
Surgical Physician Assistant
Primary
PA213122
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2222252
WA
05
500811698
OR
Enumeration date
03/17/2020
Last updated
05/15/2026
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