Individual
SAM E DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8512 SE 8TH AVE, PORTLAND, OR 97202-6910
(240) 338-7515
Mailing address
8512 SE 8TH AVE, PORTLAND, OR 97202-6910
(240) 338-7515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R8571
OR
106H00000X
Marriage & Family Therapist
Primary
R8571
OR
Other
Enumeration date
10/02/2023
Last updated
04/25/2026
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