SAMANTHA DECKER PA
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1124525043- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 1900 WOODLAND DR, COOS BAY, OR, 974202099
- Phone
- (541) 267-5151
Specialties & Taxonomies
Dermatology
Primary License: OR #PA197140
Dermatology
License: HI #823