person
Samantha Wattenburg
Mental Health Counselor in Portland, Oregon
NPI 1740927375

Samantha Wattenburg is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Samantha Wattenburg practices in Portland, OR. The NPI Number for Samantha Wattenburg is 1740927375 and holds a License No. PROFESSIONALLICENSE (Oregon).

The current practice location address for Samantha Wattenburg is 17640 Ne Halsey St, Portland, OR and can be reached out via phone at 503-489-5045 and via fax at 503-489-5638.

Location: 17640 Ne Halsey St, Portland, OR, 97504-4004
person
Provider Profile Details
NPI Number
1740927375
Provider Name
Samantha Wattenburg
Credential
Provider Entity Type
Individual
Gender
Female
Address
17640 Ne Halsey St, Portland, OR, 97504-4004
Phone Number
503-489-5045
Fax Number
503-489-5638
Provider Enumeration Date
05/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17640 Ne Halsey St
City
State
Zip
97230-6733
Phone Number
503-489-5045
Fax Number
503-489-5638
person
Provider Business Mailing Address Details
Address
17640 Ne Halsey St
City
State
Zip
97230-6733
Phone Number
503-489-5045
Fax Number
503-489-5638
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PROFESSIONALLICENSE ()
Definition
Definition to come...
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