Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samy Chettat, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063904555

Dr. Samy Chettat, MD is an Emergency Medicine in Portland, Oregon. Graduated from Drexel University College of Medicine in 2018, 8 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Trained at
Drexel University College of Medicine
Licensed in
OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7551
Fax: (503) 494-4997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 930 Sw Abbey St, Newport, OR 97365-4820 — (541) 265-2244

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD211316 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063904555
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2018
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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