Individual
MRS. SAMANTHA MARIE RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OP31, PORTLAND, OR 97239-3011
(503) 494-6400
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA150291
OR
363AS0400X
Surgical Physician Assistant
Primary
PA150291
OR
Other
Enumeration date
10/01/2009
Last updated
05/22/2024
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