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

Samuel B Luty, MD

Individual provider Internal Medicine Physician · NPI 1811496409

Samuel B Luty, MD is an Internal Medicine in Oregon City, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2020, 6 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2018
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

1500 Division St
Oregon City, OR 97045-1527
Phone: (503) 650-6270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5920 Sw Hood Ave Apt 2, Portland, OR 97239-3774 — (971) 222-5743

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD217088 (OR)

Record details

NPI number1811496409
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 8, 2018
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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