IndividualActive
Samantha Umetsu
NPI 1073119319 · Pharmacist · Portland, OR
Provider details
- NPI number
- 1073119319
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RPH-0018129 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4816 Nw Bethany Blvd
Portland, OR 97229-9254
Phone: (503) 439-9014
Fax: (503) 533-0579
Street-level locationGet directions
Mailing address
14800 Nw Cornell Rd Apt 15g
Portland, OR 97229-7417
Registry dates
- Enumerated
- 2020-12-10
- Last updated
- 2020-12-10
- Certified
- 2020-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.