Individual
DR. SAMUEL ISAAC SALAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7409 SW CAPITOL HWY, SUITE 202, PORTLAND, OR 97219
(503) 468-4630
Mailing address
7409 SW CAPITOL HWY STE 202, PORTLAND, OR 97219-2432
(732) 730-7179
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
06011
MD
103TC0700X
Clinical Psychologist
Primary
3200
OR
Other
Enumeration date
02/10/2019
Last updated
09/29/2021
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