Individual
SAMANTHA NOEL GIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 B AVE, LAKE OSWEGO, OR 97034-3012
(503) 303-7212
Mailing address
340 B AVE, LAKE OSWEGO, OR 97034-3012
(503) 303-7212
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-146591
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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