Individual
MR. SAMUEL HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSWA
Contact information
Practice address
619 NW 6TH AVE FL 5, PORTLAND, OR 97209-3964
(503) 988-7468
Mailing address
619 NW 6TH AVE FL 5, PORTLAND, OR 97209-3964
(503) 988-7468
(360) 768-5547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OR
Enumeration date
09/25/2018
Last updated
09/16/2021
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