Individual
SAMANTHA DARLYNN BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2923 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 208-5566
Mailing address
5303 SE 66TH AVE, PORTLAND, OR 97206-5301
(661) 972-4922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C10643
OR
106H00000X
Marriage & Family Therapist
Primary
136378
CA
106H00000X
Marriage & Family Therapist
14133306-3902
UT
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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