Individual
DR. SAMUEL METZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3106 SW GALE AVE, PORTLAND, OR 97239-1448
(503) 754-1329
Mailing address
3106 SW GALE AVE, PORTLAND, OR 97239-1448
(503) 754-1329
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD21731
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022457
—
OR
05
—
8394934
—
WA
01
—
P00154034
RR MEDICARE
OR
05
—
XPY206303
—
CA
Enumeration date
05/17/2006
Last updated
01/08/2017
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