Individual
SAMANTHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 SW MORRISON ST STE 310, PORTLAND, OR 97205-1945
(503) 352-2400
Mailing address
1411 SW MORRISON ST STE 310, PORTLAND, OR 97205-1945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
1383
WV
Other
Enumeration date
05/07/2018
Last updated
10/08/2025
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