Individual
MS. SAMANTHA ANN PRYBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
3650 SE 33RD AVE, PORTLAND, OR 97202-3488
(908) 217-5690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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