Organization
CATHERINE SAMSON, PMHNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE LOTT SAMSON PMHNP (MANAGER)
(503) 679-6470
Entity
Organization
Contact information
Practice address
2455 NW MARSHALL ST, SUITE 14, PORTLAND, OR 97210-2949
(503) 679-6470
(503) 296-2996
Mailing address
2455 NW MARSHALL ST, SUITE 14, PORTLAND, OR 97210-2949
(503) 679-6470
(503) 296-2996
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
OR200650006NP
OR
Other
Enumeration date
06/11/2011
Last updated
03/24/2014
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