Individual
MS. DEBORAH SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. P. C.
Contact information
Practice address
1016 SE 12TH AVE, PORTLAND, OR 97214-2513
(503) 283-0380
(503) 281-0245
Mailing address
2504 N WATTS ST, PORTLAND, OR 97217-6368
(503) 283-0380
(503) 281-0245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1259
OR
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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