SAMANTHA BOULANGER (NPI# 1215493432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215493432 |
| Entity Type | Individual |
| Full Name | SAMANTHA BOULANGER |
| Practice Address |
300 Nw Island Cir Apt A7 Beaverton OR 97006-8538 |
| Practice Telephone | 6502247245 |
| Mailing Telephone | 6502247245 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
300 NW ISLAND CIR APT A7 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-8538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1215557269 | Kara Webster | Student in an Organized Health Care Education/Training Program | 20894 Sw Eggert Way, Beaverton, OR 97078-2162 | 2020-04-20 |
| 1336777671 | Yuan Qu | Student in an Organized Health Care Education/Training Program | 16904 Sw Lemongrass Ln, Beaverton, OR 97007-2017 | 2020-03-31 |
| 1265065395 | Davis Lehman | Student in an Organized Health Care Education/Training Program | 4200 Sw 107th Ave Apt 703, Beaverton, OR 97005-3140 | 2020-02-18 |
| 1316404361 | Lauren Taylor Garcia | Student in an Organized Health Care Education/Training Program | 4490 Sw Mueller Dr Apt L304, Beaverton, OR 97078-8054 | 2019-02-26 |
| 1255898375 | Michael R.r. Fanning | Student in an Organized Health Care Education/Training Program | 722 Sw Sosa Pl, Beaverton, OR 97003-1643 | 2019-02-25 |
| 1740660372 | Kevin Yeo | Student in an Organized Health Care Education/Training Program | 14110 Sw Allen Blvd Apt 91, Beaverton, OR 97005-4702 | 2015-06-09 |
| 1598145682 | Allyson Burk | Student in an Organized Health Care Education/Training Program | 8339 Sw Shawmut Dr, Beaverton, OR 97007-8593 | 2015-06-03 |
| 1346488434 | Ying Zhang | Student in an Organized Health Care Education/Training Program | 16709 Nw Paisley Dr, Beaverton, OR 97006 | 2009-01-27 |
| 1669096509 | Alina Grimsted | Student in an Organized Health Care Education/Training Program | 12655 Sw Center St Ste 100, Beaverton, OR 97005-1600 | 2020-06-06 |
| Find all providers in BEAVERTON | ||||
Please comment or provide details below to improve the information on SAMANTHA BOULANGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.