person
Kathryn Mccoy Samsom
Psychiatric/Mental Health Registered Nurse in Portland, Oregon
NPI 1710282710

Kathryn Mccoy Samsom is a Psychiatric/Mental Health Registered Nurse based in Portland, OR and is specialized in Psychiatric/Mental Health. Kathryn Mccoy Samsom practices in Portland, OR. The NPI Number for Kathryn Mccoy Samsom is 1710282710 and holds a License No. (Oregon).

The current practice location address for Kathryn Mccoy Samsom is 10373 Ne Hancock St, Portland, OR and can be reached out via phone at 503-238-0769 and via fax at 503-552-6208.

Location: 10373 Ne Hancock St, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1710282710
Provider Name
Kathryn Mccoy Samsom
Credential
Provider Entity Type
Individual
Gender
Female
Address
10373 Ne Hancock St, Portland, OR, 97207-8459
Phone Number
503-238-0769
Fax Number
503-552-6208
Provider Enumeration Date
01/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10373 Ne Hancock St
City
State
Zip
97220-3873
Phone Number
503-238-0769
Fax Number
503-552-6208
person
Provider Business Mailing Address Details
Address
10373 Ne Hancock St
City
State
Zip
97220-3873
Phone Number
503-238-0769
Fax Number
503-552-6208
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
099007163RN (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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