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Individual

CHRISTOPHER PHILLIP SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
212 SKYLINE DR, WHITE SALMON, WA 98672
(509) 493-2133
(509) 493-9544
Mailing address
PO BOX 1519, WHITE SALMON, WA 98672-1519
(509) 493-2133
(509) 493-9544

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22673
NE
207Q00000X
Family Medicine Physician
Primary
MD00047504
WA
207Q00000X
Family Medicine Physician
MD27417
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274532
OR
05
8478117
WA
01
P00462561
PTAN
WA
Enumeration date
12/19/2005
Last updated
03/07/2023
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