person
Samantha Landis
Mental Health Counselor in Portland, Oregon
NPI 1114704517

Samantha Landis is a Mental Health Counselor based in Tigard, OR and is specialized in Mental Health. Samantha Landis practices in Portland, OR. The NPI Number for Samantha Landis is 1114704517 and holds a License No. (Oregon).

The current practice location address for Samantha Landis is 3415 Se Powell Blvd, Portland, OR and can be reached out via phone at 503-234-9591.

Location: 3415 Se Powell Blvd, Portland, OR, 97223-6307
person
Provider Profile Details
NPI Number
1114704517
Provider Name
Samantha Landis
Credential
Provider Entity Type
Individual
Gender
Female
Address
3415 Se Powell Blvd, Portland, OR, 97223-6307
Phone Number
503-234-9591
Fax Number
Provider Enumeration Date
09/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3415 Se Powell Blvd
City
State
Zip
97202-3371
Phone Number
503-234-9591
Fax Number
person
Provider Business Mailing Address Details
Address
3415 Se Powell Blvd
City
State
Zip
97202-3371
Phone Number
503-234-9591
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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