Individual
SAMANTHA MARIE DAMBROSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
494 SE WASHINGTON ST, HILLSBORO, OR 97123-4141
(503) 597-3874
Mailing address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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