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Contact Information

JONATHAN SAMUEL, M.D., M.P.H.
10180 SE SUNNYSIDE RD
CLACKAMAS, OR97015-8970
 Phone: 503-652-2880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JONATHAN SAMUEL · (Male)

NPI Number 1457570723
Status Active
Credentials M.D., M.P.H.
Entity Individual
Enumeration date 04/25/2007
Last updated 10/10/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 2007-00921
Hospital affiliation(s)
  • KAISER SUNNYSIDE MEDICAL CENTER - (Acute Care)
    10180 SE SUNNYSIDE ROAD
    CLACKAMAS, OR 97015
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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