Sampson, Gwen

Sampson, Gwen is an individual health care provider with primary practice located at 6800 Sw 105Th Ave Ste 206 , Beaverton OR 97008-5487. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Sampson, Gwen can be contacted via phone (503) 430-1777.

Contact Information

Primary practice address
6800 Sw 105Th Ave Ste 206 Beaverton OR 97008-5487
Phone: (503) 430-1777
Fax: (503) 372-5119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00678600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ00678600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 201703018NP-PP Oregon

Profile Details

NPI number 1558812867
LBN Legal business name Sampson, Gwen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2016
Last updated Apr 6th, 2023 - about 3 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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