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1275315525
SAMUEL WILLIAM PACKHAM
NEWBERG, OR
NPI
1275315525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-10-19
Last Update Date
2023-10-19
Business Address
SAMUEL WILLIAM PACKHAM PA-S
448 N WERTH BLVD
NEWBERG, OR 97132-7500
Phone number: 503-538-8383
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Mailing Address
SAMUEL WILLIAM PACKHAM PA-S
2957 GLEN EAGLES RD
LAKE OSWEGO, OR 97034-2737
Phone number: 971-386-8399
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