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Samantha Statler
Addiction (Substance Use Disorder) Counselor in Tigard, Oregon
NPI 1154993566

Samantha Statler is an Addiction (Substance Use Disorder) Counselor based in Tigard, OR and is specialized in Addiction (Substance Use Disorder). Samantha Statler practices in Tigard, OR. The NPI Number for Samantha Statler is 1154993566 and holds a License No. T-21-709 (Oregon).

The current practice location address for Samantha Statler is 10763 Sw Greenburg Rd Ste 100, Tigard, OR and can be reached out via phone at 503-684-8159.

Location: 10763 Sw Greenburg Rd Ste 100, Tigard, OR, 97223-5492
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154993566
Provider Name
Samantha Statler
Credential
Provider Entity Type
Individual
Gender
Female
Address
10763 Sw Greenburg Rd Ste 100, Tigard, OR, 97223-5492
Phone Number
503-684-8159
Fax Number
Provider Enumeration Date
07/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10763 Sw Greenburg Rd Ste 100
City
Tigard
State
Oregon
Zip
97223-5492
Phone Number
503-684-8159
Fax Number
person
Provider Business Mailing Address Details
Address
10763 Sw Greenburg Rd Ste 100
City
Tigard
State
Oregon
Zip
97223-5492
Phone Number
503-684-8159
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
T-21-709 (Oregon)
Definition
Definition to come...
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