Individual
SAMANTHA SUDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5525 E BURNSIDE ST, PORTLAND, OR 97215-1258
(541) 936-9783
Mailing address
5525 E BURNSIDE ST, PORTLAND, OR 97215-1258
(541) 936-9783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
006970
NY
101YP2500X
Professional Counselor
Primary
C6199
OR
Other
Enumeration date
08/15/2014
Last updated
11/14/2025
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