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Individual

SAMANTHA JANE LOOMIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
PEACEHEALTH HOSPITAL MEDICINE, 3377 RIVERBEND DRIVE, SPRINGFIELD, OR 97477-8803
(541) 222-6389
(541) 222-6385
Mailing address
PEACEHEALTH HOSPITAL MEDICINE, 3377 RIVERBEND DRIVE, SPRINGFIELD, OR 97477-8803
(541) 222-6389
(541) 222-6385

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
201808008NP-PP
OR
363L00000X
Nurse Practitioner
201808008NP-PP
OR
363LF0000X
Family Nurse Practitioner
0990568-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500756799
OR
05
64026302
CO
Enumeration date
01/21/2013
Last updated
08/08/2023
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