Healthcare Provider Details

I. General information

NPI: 1912817271
Provider Name (Legal Business Name): NATHAN SAMUEL MEIER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 SE 8TH AVE
HILLSBORO OR
97123-4218
US

IV. Provider business mailing address

20831 SE FIRWOOD RD
SANDY OR
97055-9487
US

V. Phone/Fax

Practice location:
  • Phone: 503-352-7283
  • Fax:
Mailing address:
  • Phone: 503-953-0688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberPI-0014835
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: