Samuel Bryan Valdivia

NPI #1003439084 in Portland, Oregon

Provider Information

NPI Number: 1003439084
Entity Type: Individual
Name: Samuel Bryan Valdivia
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: May 25, 2020
Last Updated: Oct 28, 2022

Practice Location

Address: 501 N GRAHAM ST MEDICAL OFFICE BUILDING 2
Address 2: SUITE 220
City: Portland
State: Oregon
ZIP Code: 97227
Phone: (503) 413-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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