Individual
CARISSA WALKER SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # UHS8L, PORTLAND, OR 97239-3011
(503) 839-7697
Mailing address
5847 SW 189TH PL, BEAVERTON, OR 97078-4578
(940) 781-4328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A14874
OR
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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