Healthcare Provider Details

I. General information

NPI: 1457272379
Provider Name (Legal Business Name): SAMUEL JAMES SAITO RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 CHEMAWA RD NE
SALEM OR
97305-1198
US

IV. Provider business mailing address

3750 CHEMAWA RD NE
SALEM OR
97305-1198
US

V. Phone/Fax

Practice location:
  • Phone: 503-304-7600
  • Fax: 503-304-7677
Mailing address:
  • Phone: 503-304-7600
  • Fax: 503-304-7677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC1501X
TaxonomyCommunity Health/Public Health Clinical Nurse Specialist
License Number201805751RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: