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

Gwen Sampson

Individual provider Adult Health Nurse Practitioner · NPI 1558812867

Gwen Sampson is an Adult Health Nurse Practitioner in Beaverton, Oregon. Licensed in New Jersey and Oregon. Registered with an NPI since 2016.

Licensed in
NJ, OR
In the registry since
2016
Specialties on file
3

Practice location Address checks out

6800 SW 105th Ave Ste 206
Beaverton, OR 97008-5487
Phone: (503) 430-1777
Fax: (503) 372-5119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 201703018NP-PP (OR)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 26NJ00678600 (NJ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 26NJ00678600 (NJ)

Record details

NPI number1558812867
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2016
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023
Mailing address6800 Sw 105th Ave Ste 206, Beaverton, OR 97008-5487

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