Samara Learning Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

SAMARA LEARNING CENTER

Practice address

230 NE 9TH St Lowr Lot 1
Bend, OR 97701-5137

Phone

(541) 419-3324

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Heather Brooke Chatem, MA, ACL

Title

Executive Director

Phone

(541) 419-3324

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Samara Learning Center Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1891550356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NE 9TH ST LOWR LOT 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015137",
            "telephone_number": "541-419-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NE 9TH ST LOWR LOT 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015137",
            "telephone_number": "541-419-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARA LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "CHATEM",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-419-3324",
        "authorized_official_credential": "MA, ACL"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BUSINESS REGISTRATION",
            "identifier": "01733538-6",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHARITABLE ACTIVITIES REGISTRATION",
            "identifier": "48992",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@samaralearningcenter.org",
            "affiliation": "N",
            "endpointDescription": "inbox",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "desktop",
            "address_1": "230 NE 9th St Lowr Lot 1",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977015137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Samara Learning Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Salvo
• Ryan Salyer, PT, DPT
• Philip Dean Samaha
• Candice Samano
• Samantha Bennett LCSW Therapy LLC
• Jillian Elizabeth Sammon, LCSW
• Travis Sammon, MSW, LCSW
• Sampson Physical Therapy, Inc
• Jonathan P Sampson, PT
• Mark E Sampson, MD

• Voluntary or Charitable Agency in Bend, OR
• Providers in Bend, OR by specialty
• Voluntary or Charitable Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.