Individual
JACQUELINE SAMOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6040 SE BELMONT ST, PORTLAND, OR 97215-1974
(503) 231-7166
Mailing address
3135 NE HOLLADAY ST, PORTLAND, OR 97232-2504
(310) 346-7514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18069
OR
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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