Individual
DR. SAMAY JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 S KITSAP BLVD STE 210, PORT ORCHARD, WA 98366-3738
(360) 895-8950
(360) 830-1385
Mailing address
450 S KITSAP BLVD STE 210, PORT ORCHARD, WA 98366-3738
(360) 895-8950
(360) 830-1385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD60771954
WA
208800000X
Urology Physician
35099644
OH
208800000X
Urology Physician
Primary
MD60771954
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075568
—
OH
05
—
2092193
—
WA
01
—
99644
LICENSE
OH
Enumeration date
07/07/2006
Last updated
12/04/2020
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