Individual
SAMANTHA LEANN RAFTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2485 12TH ST SE, SALEM, OR 97302-2151
(503) 363-8047
Mailing address
2485 12TH ST SE, SALEM, OR 97302-2151
(503) 363-8047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA218183
OR
Other
Enumeration date
08/14/2023
Last updated
09/17/2025
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