person
Samantha Jane Riley
Peer Specialist in Portland, Oregon
NPI 1063124709

Samantha Jane Riley is a Peer Specialist based in Portland, OR. Samantha Jane Riley practices in Portland, OR. The NPI Number for Samantha Jane Riley is 1063124709 and holds a License No. THW000107596 (Oregon).

The current practice location address for Samantha Jane Riley is 30 Ne Martin Luther King Blvd, Portland, OR and can be reached out via phone at 503-232-1099.

Location: 30 Ne Martin Luther King Blvd, Portland, OR, 97203-2012
person
Provider Profile Details
NPI Number
1063124709
Provider Name
Samantha Jane Riley
Credential
Provider Entity Type
Individual
Gender
Female
Address
30 Ne Martin Luther King Blvd, Portland, OR, 97203-2012
Phone Number
503-232-1099
Fax Number
Provider Enumeration Date
12/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 Ne Martin Luther King Blvd
City
State
Zip
97232-2941
Phone Number
503-232-1099
Fax Number
person
Provider Business Mailing Address Details
Address
30 Ne Martin Luther King Blvd
City
State
Zip
97232-2941
Phone Number
503-232-1099
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
THW000107596 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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