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

Jonathan Samuel, MD, MPH

Individual provider Surgery Physician · NPI 1457570723

Jonathan Samuel, MD, MPH is a General Surgery in Clackamas, Oregon. Graduated from Northwestern University Feinberg Medical School in 2004, 22 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
22
Trained at
Northwestern University Feinberg Medical School
Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

See every abbreviation used in this directory →

Practice location Address checks out

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 652-2880
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2007-00921 (NC)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 2007-00921 (NC)

Record details

NPI number1457570723
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorYes
NPI enumeratedApril 25, 2007
Last updated in NPPESOctober 10, 2014
Mailing address10180 Se Sunnyside Rd, Clackamas, OR 97015-8970

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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