Organization Active NPI

Catherine Samson, Pmhnp, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1538454178
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
OR200650006NP Issued in OR
Legal business name
CATHERINE SAMSON, PMHNP, LLC
Practice address
2455 NW Marshall St
Suite 14
Portland, OR 97210-2949
Phone
(503) 679-6470
Fax
(503) 296-2996
NPI assigned
Jun 11, 2011
Last updated
Mar 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Ms. Catherine Lott Samson, PMHNPNPI 1710075221
Title
Manager
Phone
(503) 679-6470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X OR200650006NP OR Primary

Addresses

Primary practice location

2455 NW Marshall St
Suite 14
Portland, OR 97210-2949

Mailing address

2455 NW Marshall St
Suite 14
Portland, OR 97210-2949
Phone (503) 679-6470

National Provider Directory

National Provider Directory

Locations

2455 NW Marshall St
Ste 14
Portland, OR 97210
Phone (503) 221-0295

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1538454178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 NW MARSHALL ST",
            "address_2": "SUITE 14",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102949",
            "telephone_number": "503-679-6470",
            "fax_number": "503-296-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 NW MARSHALL ST",
            "address_2": "SUITE 14",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102949",
            "telephone_number": "503-679-6470",
            "fax_number": "503-296-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE SAMSON, PMHNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-11",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "LOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-679-6470",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "OR200650006NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.