Liza Samson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD22590 Issued in OR

Practice address

2456 NW Northrup St
Suite 1a
Portland, OR 97210-3253

Phone

(503) 705-5753

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1447229109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 NW NORTHRUP ST",
            "address_2": "SUITE 1A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103253",
            "telephone_number": "503-705-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 NW NORTHRUP ST",
            "address_2": "SUITE 1A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103253",
            "telephone_number": "503-705-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "LIZA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD22590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287473",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sehra Dove Sampson, MD
• Megan Samsel
• Jennifer D Samsom, MA
• Kathryn McCoy Samsom
• Catherine Lott Samson, PMHNP-BC
• Samuel D Seo, DMD, PC
• Samuel G Shiley MD LLC
• Samuel J Higdon DDS PC
• Samuel T Wells, DMD, LLC
• Samuel V Bartholomew MD PC (Samuel V Bartholomew MD)

• Family Medicine Physician in Portland, OR
• Providers in Portland, 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 Sep 12, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.