Decker, Samantha

Decker, Samantha is an individual health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2099. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Decker, Samantha can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-2099
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PA197140 Oregon
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 823 Hawaii

Profile Details

NPI number 1124525043
LBN Legal business name Decker, Samantha
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2018
Last updated Mar 2nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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