Active NPI
Jennifer Samson
- Naturopath
- Tualatin, OR
National Provider Identifier
1639733801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4244
- Practice address
- 7195 SW Sagert St Unit 102
Tualatin, OR 97062-8251 - Phone
- (503) 421-6289
- NPI assigned
- Apr 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 4244 | OR | Primary |
Addresses
Primary practice location
7195 SW Sagert St Unit 102
Tualatin, OR 97062-8251
Mailing address
7195 SW Sagert St Unit 102
Tualatin, OR 97062-8251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4244 | OR | MD | Naturopath |
Interoperability endpoints
- jennifer.samson.1@26270.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1639733801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7195 SW SAGERT ST UNIT 102",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7195 SW SAGERT ST UNIT 102",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628251",
"telephone_number": "503-421-6289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSON",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-23",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.