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NPI Code Detail

MEDICARE: CHASE SAMUELS

MEDICARE: CHASE SAMUELS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramOR

General Provider Information

NPI Number : 1588593354
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASE SAMUELS
Provider Business Mailing Address
First Line : 2851 DAPPLES CT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80922-2582
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 MULLINS DR
Second Line :
City : LEBANON
State : OR
Zip : 97355-3983
Country : US
Telephone Number : 719-502-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ CHASE SAMUELS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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