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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMANTHA JO GRAVIS
NPI 1134035033
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since August 20, 2026
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266(503) 258-4200 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samantha Jo Gravis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA JO GRAVIS (NPI 1134035033) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1134035033
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA JO GRAVIS
Location Address9911 SE MOUNT SCOTT BLVDPortland, OR 97266-6302
Mailing Address11035 Ne Sandy BlvdPortland, OR 97220-2553 · (503) 258-4200
Phone(503) 258-4200
Sole ProprietorYes
Enumeration DateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1134035033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9911 SE MOUNT SCOTT BLVD, Portland, OR 97266
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALERIE HUMENIK
Case Manager/Care Coordinator
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Multnomah County (503) 233-4356
MS. ERIN SCOTT
Case Manager/Care Coordinator
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Multnomah County (503) 258-4200
MS. CLAIRE MARIE LICHTENHELD
Case Manager/Care Coordinator
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Multnomah County (503) 258-4200
SHAWN KERR B.S.
Student in an Organized Health Care Education/Training Program
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Multnomah County (503) 258-4200
MISS ERIN MARIE JONES B.S.
Case Manager/Care Coordinator
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Multnomah County (503) 258-4200
SHARON DIXIE MCCONNELL RN
Registered Nurse (General Practice)
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Multnomah County (801) 703-3482
MS. JENNIFER M WHITE
Social Worker (Clinical)
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Multnomah County (503) 258-4200
GINGER MARIE HUIZAR
Case Manager/Care Coordinator
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266
Multnomah County (503) 258-4200

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 Gravis's NPI number?

The NPI number for Samantha Gravis is 1134035033. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Where is Samantha Gravis located?

Samantha Gravis practices at 9911 SE Mount Scott Blvd, Portland, OR 97266. The listed phone number is (503) 258-4200.

What is Samantha Gravis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samantha Gravis was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.