person
Samuel Allen Tuckwin, QMHP-R
Mental Health Counselor in Gresham, Oregon
NPI 1669161014

Samuel Allen Tuckwin is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Samuel Allen Tuckwin practices in Gresham, OR and has the professional credentials of QMHP-R. The NPI Number for Samuel Allen Tuckwin is 1669161014 and holds a License No. 23-QMHP-R-2293 (Oregon).

The current practice location address for Samuel Allen Tuckwin is 620 Ne 2Nd St, Gresham, OR and can be reached out via phone at 971-274-3757 and via fax at 503-912-5740.

Location: 620 Ne 2Nd St, Gresham, OR, 97205-1715
person
Provider Profile Details
NPI Number
1669161014
Provider Name
Samuel Allen Tuckwin
Credential
QMHP-R
Provider Entity Type
Individual
Gender
Male
Address
620 Ne 2Nd St, Gresham, OR, 97205-1715
Phone Number
971-274-3757
Fax Number
503-912-5740
Provider Enumeration Date
05/02/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500819391 05 OR
institution
Provider Business Practice Location Address Details
Address
620 Ne 2Nd St
City
State
Zip
97030-7514
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider Business Mailing Address Details
Address
620 Ne 2Nd St
City
State
Zip
97030-7514
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
23-QMHP-R-2293 (Oregon)
Definition
Definition to come...
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