Raji Mathew Samuel, DDS

Dentist · McMinnville, OR

Individual Active NPI

NPI number 1336264357

Practice location

510 NE 8TH St
McMinnville, OR 97128-3910
Phone
(503) 472-3147

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NPI record

NPI
1336264357
Entity type
Individual (Type 1)
Enumeration date
March 20, 2007
Last updated
September 15, 2021
Certified
September 15, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D8431 OR

Mailing address

19553 SW Boulder Ln
Beaverton, OR 97007-8903
Phone
(503) 860-0809

About Dr. Samuel

Raji Mathew Samuel, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 510 NE 8TH St, McMinnville, OR 97128-3910. The NPI number 1336264357 was assigned on March 20, 2007 and the record was last updated on September 15, 2021.

Dr. Samuel lists a license in the registry: #D8431 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Raji Mathew Samuel, DDS?

The NPI number is 1336264357.

What is the phone number of Dr. Samuel?

The phone number listed for the practice location is (503) 472-3147.

Where is Dr. Samuel located?

510 NE 8TH St, McMinnville, OR 97128-3910.

What is the taxonomy code for Dr. Samuel?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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