Individual
SAMUEL GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
904 SE 20TH AVE APT 6, PORTLAND, OR 97214-2854
(310) 713-2150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OR
225X00000X
Occupational Therapist
Primary
—
OR
Other
Enumeration date
01/20/2012
Last updated
08/15/2023
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