Individual
SAMANTHA FELTS PAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, MAC
Contact information
Practice address
6600 SW 105TH AVE STE 115, BEAVERTON, OR 97008-8833
(503) 644-7300
Mailing address
8625 SW LIZZIE CT, TIGARD, OR 97223-7097
(503) 505-4191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
03/24/2016
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