SearchOregon363A00000X

Samuel Valdivia

NPI 1003439084 · on the registry since 2020 · sole proprietor

Practice

Address
501 N Graham St Medical Office Building 2
Suite 220
Portland, OR 97227
Phone
(503) 413-6200

Additional practice sites

  • 1701 Sw Columbia St Apt 404, Portland, OR
  • 222 Se 8th Ave Ste 536, Hillsboro, OR

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon