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SAMUEL ST. JOHN
NPI 1972098648
Case Manager/Care Coordinator in Portland, OR

Active since June 26, 2018
847 NE 19TH AVE STE 100, PORTLAND, OR 97232(503) 238-0769 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2019, Jun 26, 2018 (2 updates tracked since 2018).

About Samuel St. John NPPES

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

SAMUEL ST. JOHN (NPI 1972098648) is an individual case manager/care coordinator provider in Portland, Oregon and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1972098648
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameSAMUEL ST. JOHN
Location Address847 NE 19TH AVE STE 100Portland, OR 97232-2684
Mailing Address847 Ne 19th Ave Ste 100Portland, OR 97232-2684 · (503) 238-0769
Phone(503) 238-0769
Sole ProprietorYes
Enumeration DateJune 26, 2018
Last NPPES UpdateSeptember 10, 20192 updates tracked since enumeration
✔ NPI 1972098648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
847 NE 19TH AVE STE 100, Portland, OR 97232
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Other Identifiers 1

Other19-QMHA-I-01704OR · Qmha

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.

TESHA YOLANDA MITCHELL
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
JENNIFER PETERS
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
REAGAN WILLIAM SELLERS
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
PHILLIP ALEXANDER HALL
Case Manager/Care Coordinator
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
KATE OLDFIELD
Counselor (Addiction (Substance Use Disorder))
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
KERSEY STEPHEN HARDING
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
EMILY HURD
Adult Companion
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
REESE ERVIN GIBERSON
Social Worker
847 NE 19TH AVE STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769

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 Samuel St. John's NPI number?

The NPI number for Samuel St. John is 1972098648. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Samuel St. John located?

Samuel St. John practices at 847 NE 19th Ave Ste 100, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is Samuel St. John's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Samuel St. John was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.