Individual
SAMANTHA RENEE JACOBS HUWALDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N PROVIDENCE DR, NEWBERG, OR 97132-7581
(503) 537-5900
Mailing address
4440 NE HALSEY ST, PORTLAND, OR 97213
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000108109
OR
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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