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Samantha Wiseman, DO

NPI 1346604675 · on the registry since 2016 · sole proprietor

Practice

Address
1230 7th Ave
Longview, WA 98632
Phone
(503) 813-2000
Fax
(360) 636-6282
Organisation at this address
Kaiser Permanente
Kaiser Foundation Health Plan Of The Northwest
Kaiser Foundation Health Plan Of The Northwest
Kaiser Foundation Health Plan Of The Northwest
Kaiser Foundation Health Plan Of The Northwest
Inferred from a shared address, not stated in the registry.
Clinicians at this address
116

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
204D00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-01

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 Washington