Individual
MS. CATHERINE LOTT SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
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
200650006NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP30007493
WA
Other
Enumeration date
10/10/2006
Last updated
03/24/2014
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