Individual
SAMANTHA L EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
(541) 761-7264
Mailing address
13350 SW BRITTANY DR, TIGARD, OR 97223-1528
(541) 761-7264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C9017
OR
101YP2500X
Professional Counselor
Primary
C9017
—
Other
Enumeration date
05/14/2025
Last updated
06/23/2025
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