Individual
SAMANTHA NOELLE IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1769 SW PARKWAY DR, REDMOND, OR 97756-2550
(458) 312-9719
Mailing address
1769 SW PARKWAY DR, REDMOND, OR 97756-2550
(458) 312-9719
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OR
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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