Maryam Samuel-John, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC198434 Issued in OR

Practice address

1017 Molalla Ave Ste 2
Oregon City, OR 97045-3772

Phone

(503) 765-7324

Fax

(503) 765-7308

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Fine Feather Acupuncture LLC

  • Acupuncturist
  • Oregon City, OR
  • NPI 1730807728
  NPD Authorized official
• A Natural Balance Health Care, LLC

  • Acupuncturist
  • Vancouver, WA
  • NPI 1679317861
  NPD (past)
• Advanced Acupuncture, Inc.

  • Acupuncturist
  • Vancouver, WA
  • NPI 1881109361
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1699320846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 MOLALLA AVE STE 2",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453772",
            "telephone_number": "503-765-7324",
            "fax_number": "503-765-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 MOLALLA AVE STE 2",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453772",
            "telephone_number": "503-765-7324",
            "fax_number": "503-765-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL-JOHN",
        "first_name": "MARYAM",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60843753",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC198434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.connection-wellness.com",
            "affiliation": "N",
            "endpointDescription": "Connection Wellness Website",
            "address_1": "1017 Molalla Ave Ste 2",
            "city": "Oregon City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970453772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Irini Mekheil Sahuon, DMD
• Donald Dewitt Saint Just, MD
• Nancy J Salisbury, M.D.
• Desiree Salzer, M.ED, BCBA
• Samuel Sabo DO
• Kacie Lynne Sandidge, LMT
• Ricardo Sandoval
• Haggai Sankori, RN
• Hollis Anthony Sansing
• David Winston Sant, LCSW

• Acupuncturist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.