Individual
ROBERT ALLAN SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5050 NE HOYT ST, STE 235, PORTLAND, OR 97213-2981
(503) 408-1102
(503) 408-1155
Mailing address
PO BOX 821350, VANCOUVER, WA 98682-0030
(503) 283-5220
(503) 283-9527
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00217
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023834001
BLUE CROSS
OR
05
—
032511
—
OR
Enumeration date
11/09/2005
Last updated
04/03/2008
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