Individual
SAMANTHA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1797
(503) 352-2020
Mailing address
13506 SW HILLSHIRE DR, TIGARD, OR 97223-5675
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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