Individual
SAMANTHA JANE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9331 N DWIGHT AVE, PORTLAND, OR 97203-3583
(503) 421-3233
Mailing address
9331 N DWIGHT AVE, PORTLAND, OR 97203-3583
(503) 421-3233
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000107596
OR
Other
Enumeration date
12/14/2022
Last updated
11/10/2025
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