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
Phone: (541) 267-5151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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