Samuel Bryan Valdivia
Samuel Bryan Valdivia is a Physician Assistant in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 4
- Licensed in
- OR
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Portland, ORNo coordinates on file. Search this address in Google Maps
Additional practice locations (2)
- 222 Se 8th Ave Ste 536, Hillsboro, OR 97123-4218 — (503) 352-7272
- 1701 Sw Columbia St Apt 404, Portland, OR 97201-2592 — (602) 403-5363
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA213719 (OR) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1003439084 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 25, 2020 |
| Last updated in NPPES | October 28, 2022 |
| Certification date | September 23, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Legacy Clinics Llc — 718 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 26 |
| Average patient age | 72 |
Payments from drug and device companies, 2025
| Food and Beverage | $979 |
|---|---|
| Travel and Lodging | $867 |
Practises at
- Legacy Good Samaritan Medical Center Hospital · Portland, OR · listed as Legacy Good Samaritan Hospital and Medical Center
- Legacy Emanuel Medical Center Hospital · Portland, OR
- Legacy Meridian Park Medical Center Hospital · Tualatin, OR
Colleagues at Legacy Clinics LLC
- Christopher M Bender, MD Internal Medicine Physician · Portland, OR
- Diana Kathryn Boss, MD Internal Medicine Physician · Portland, OR
- John Gilbert Buckmaster, MD Obstetrics & Gynecology Physician · Portland, OR
- Mustaquim Faruq Chowdhury, MD Internal Medicine Physician · Hillsboro, OR
- Dr. Aneet Jyot Deo, MD Internal Medicine Physician · Salem, OR
- Dr. Tara Lyn Eagle, DO Internal Medicine Physician · Portland, OR
- Lionel P Marx, PA Surgical Physician Assistant · Happy Valley, OR
- Mackenzie Anne McCrorey, PA-C Physician Assistant · Portland, OR
- Kathrin Rose Meyers, DO Internal Medicine Physician · Gresham, OR
- Debra Pankiewicz, MD Internal Medicine Physician · Newport, OR
- Anthony Tran Internal Medicine Physician · Albany, OR
- Caitlin J Wilson, PA-C Physician Assistant · Davenport, IA
Other providers in Portland
-
Chloe Ellen Upshaw
Student / training record Portland, OR
-
Angelmary Urban
Student / training record Portland, OR
-
Janelle A Urie
Student / training record Portland, OR
-
Oliver Daniel Valdivia Camacho
Student / training record Portland, OR
-
Roxanne Valencia
Student / training record Portland, OR
-
Wanda Valles Pacheco
Student / training record Portland, OR
-
MS. Katherin Thomson Van Doren, MACOUNSELINGARTTX
Student / training record Portland, OR
-
Kari Van Mols, MD
Student / training record Portland, OR