Individual
SAMANTHA SCHWAGERUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 SE LAKE RD STE 175, PORTLAND, OR 97222-2137
(628) 587-7237
Mailing address
4384 N GANTENBEIN AVE # A, PORTLAND, OR 97217-2906
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/29/2024
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