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Individual

SAMANTHA LEE PYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
31005
OR
231H00000X
Audiologist
AUD.LD.70011088
WA
231H00000X
Audiologist
Primary
AUD3689
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500797507
OR
Enumeration date
09/02/2021
Last updated
06/24/2026
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