Samuel William Packham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA222588 Issued in OR

Practice address

960 Liberty St SE Ste 200
Salem, OR 97302-4195

Phone

(503) 399-0652

NPI assigned

Oct 19, 2023

Last updated

Jun 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oregon Rheumatology Clinics LLCGroup PAC ID 2668804576, 4 clinicians

Salem Rheumatology and Infusions, LLCGroup PAC ID 5799117214, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salem Hospital Hospital, Salem, OR, CCN 380051

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: sam.packham.p1@direct.orc.nextgenshare.com
• Direct secure messaging: samuel.packham.p57@direct.wvp.nextgenshare.com

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.

• Oregon Rheumatology Clinics, LLC

  dba Hillsboro Rheumatology

  • Rheumatology Physician
  • Hillsboro, OR
  • NPI 1376086694
  Medicare reassignment Care Compare group
• Salem Rheumatology & Infusions LLC

  • Rheumatology Physician
  • Salem, OR
  • NPI 1063053015
  Medicare reassignment Care Compare group

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

• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Care Compare affiliation

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1275315525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2957 GLEN EAGLES RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342737",
            "telephone_number": "971-386-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 LIBERTY ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024195",
            "telephone_number": "503-399-0652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 SE Oak St Ste F",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234147",
            "country_code": "US",
            "telephone_number": "971-228-8855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACKHAM",
        "first_name": "SAMUEL",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-19",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA222588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Pathology Associates, Inc
• Pacific Pathology Associates, Inc.
• Pacific Premier Care Home LLC
• Pacific Recovery Inc
• Pacific Spine & Rehab, LLC
• Victoria R Padron, RD, LD, CD
• Michelle Lyn Pagel, B.S
• Pain Care Specialists of Oregon, LLC
• Pain Care Specialists, PC
• Pain Management Northwest, Inc

• Physician Assistant in Salem, OR
• Providers in Salem, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.