Samantha Jane Riley
Community Health Worker in Portland, OR. Individual provider (NPI-1).
NPI number1063124709
StatusActive
Last updated in NPPESNov 10, 2025
Details
- NPI
- 1063124709
- Entity type
- Individual (NPI-1)
- Name
- Samantha Jane Riley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2022
- Certification date
- Nov 10, 2025
- Last updated
- Nov 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | THW000107596 | OR | Yes |
Practice location
9331 N Dwight AvePortland, OR 97203-3583
Phone 503-421-3233
Mailing address
9331 N Dwight AvePortland, OR 97203-3583
Phone 503-421-3233
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All 257 Community Health Worker providers in Portland · All 48,847 providers in Portland
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