Samara G Levine
Hospitalist in Portland, OR. Individual provider (NPI-1).
NPI number1861998643
StatusActive
Last updated in NPPESJul 20, 2021
Details
- NPI
- 1861998643
- Entity type
- Individual (NPI-1)
- Name
- Samara G Levine
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2018
- Certification date
- Jul 2, 2021
- Last updated
- Jul 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | MD204461 | OR | Yes |
| 207R00000X | Internal Medicine | MD204461 | OR | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3181 Sw Sam Jackson Park Rd # Bte119Portland, OR 97239-3098
Phone 503-494-6101
Mailing address
3181 Sw Sam Jackson Park Rd # Bte119Portland, OR 97239-3098
Phone 503-494-6101
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