SAMANTHA JANE RILEY
NPI 1063124709
Community Health Worker in Portland, OR
About Samantha Jane Riley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JANE RILEY (NPI 1063124709) is an individual community health worker in Portland, Oregon, licensed in Oregon (THW000107596) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Jane Riley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samantha Riley's NPI number?
The NPI number for Samantha Riley is 1063124709. It was assigned to this individual provider in the NPPES registry on December 14, 2022.
Where is Samantha Riley located?
Samantha Riley practices at 9331 N Dwight Ave, Portland, OR 97203. The listed phone number is (503) 421-3233.
What is Samantha Riley's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
Is Samantha Riley enrolled in Medicare?
Yes. Samantha Riley is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samantha Riley was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.