Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samuel William Packham, PA-C

Individual provider Physician Assistant · NPI 1275315525

Samuel William Packham, PA-C is a Physician Assistant in Salem, Oregon. Qualified in 2024, 2 years ago. Practices with Oregon Rheumatology Clinics LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

960 Liberty St SE Ste 200
Salem, OR 97302-4195
Phone: (503) 399-0652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 545 Se Oak St Ste F, Hillsboro, OR 97123-4147 — (971) 228-8855

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA222588 (OR)

Record details

NPI number1275315525
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2023
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address2957 Glen Eagles Rd, Lake Oswego, OR 97034-2737

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Oregon Rheumatology Clinics Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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