Samantha Clark Leadbetter, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD228255 Issued in OR

Practice address

727 S Wahanna Rd Ste 220
Seaside, OR 97138-7735

Phone

(503) 717-7060

NPI assigned

Mar 22, 2023

Last updated

Jul 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Samantha Yvonne Clark Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Oregon Health Sciences University School of Medicine, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence Health & Services Oregon

  dba Providence Seaside Hospital, Providence Seaside Clinic

  • Rural Health Clinic/Center
  • Seaside, OR
  • NPI 1649344458
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kalispell Regional Medical Center Inc

  dba Kalispell Regional Healthcare Surgical Specialists

  • Surgical Oncology Physician
  • Kalispell, MT
  • NPI 1053790063

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Logan Health Maternal-Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Kalispell, MT
  • NPI 1053798710

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Logan Health Medical Center

  • General Acute Care Hospital
  • Kalispell, MT
  • NPI 1417945627
  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Logan Health Palliative Medicine

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Kalispell, MT
  • NPI 1477989770

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Logan Health Nephrology

  • Nephrology Physician
  • Kalispell, MT
  • NPI 1700277837

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Glacier Oncology

  • Hematology & Oncology Physician
  • Kalispell, MT
  • NPI 1891151122

  Hospital

  Care Compare affiliation
• Kalispell Regional Medical Center Inc

  dba Gina Nelson, MD

  • Obstetrics & Gynecology Physician
  • Kalispell, MT
  • NPI 1972982981

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1164125951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S WAHANNA RD STE 220",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387735",
            "telephone_number": "503-717-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S WAHANNA RD STE 220",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387735",
            "telephone_number": "503-717-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEADBETTER",
        "first_name": "SAMANTHA",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD228255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CLARK",
            "middle_name": "YVONNE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Ann Kopecky, RPH
• Leah Jerene Kriewall, M.S., R.D., L.D
• Danika Kusuma, PHARM D
• Mary Ellen Langston, PHD,LPC,NCC,CADCIII
• Linda Louise Lawson
• Camille Leavitt
• Michael Lespron, DNP, APRN, FNP-C
• Gi Yu Liu, DPT
• Anna Marie Long, LCSW
• Angela Ludtke

• Family Medicine Physician in Seaside, OR
• Providers in Seaside, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.