Individual
FAITH SAMAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24850 SE STARK ST STE 200, GRESHAM, OR 97030-8320
(503) 317-5036
Mailing address
5380 SE 18TH ST, GRESHAM, OR 97080-3012
(503) 317-5036
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
10190241
OR
174N00000X
Lactation Consultant (Non-RN)
Primary
L-30730
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10190214
OREGON STATE HEALTH AUTHORITY STATE LICENSE
OR
01
—
L-30730
IBLCE-INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
—
Enumeration date
03/31/2023
Last updated
03/31/2023
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