Individual
SAMANTHA ALEXIS BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(503) 542-7635
Mailing address
2985 NE MODA WAY APT 338, HILLSBORO, OR 97124-7197
(954) 234-8270
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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