Organization
SAMARITAN COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E SORENSEN MPA (EXEC DIRECTOR)
(503) 281-3318
Entity
Organization
Contact information
Practice address
1205 NE BROADWAY ST., PORTLAND, OR 97232
(503) 281-3318
(503) 281-0937
Mailing address
1205 NE BROADWAY ST, PORTLAND, OR 97232-1233
(503) 281-3318
(503) 281-0937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048465000
BCBS
OR
05
—
271177
—
OR
Enumeration date
07/12/2006
Last updated
10/10/2008
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