Individual
SAMANTHA MCCABE TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCI
Contact information
Practice address
8083 SE 13TH AVE STE 3, PORTLAND, OR 97202-6668
(971) 570-3900
Mailing address
4005 SE MALL ST, PORTLAND, OR 97202-3151
(971) 570-3900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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