Provider Demographics
NPI:1083417877
Name:GELPERIN, SAMANTHA O
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:O
Last Name:GELPERIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9239 S SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-4235
Mailing Address - Country:US
Mailing Address - Phone:915-490-9926
Mailing Address - Fax:
Practice Address - Street 1:9239 S SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-4235
Practice Address - Country:US
Practice Address - Phone:915-490-9926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program