Search › Oregon › 101YM0800X

Samantha Black, M.A

NPI 1740684448 · on the registry since 2014

Practice

Address
310 Ne Flanders
Portland, OR 97209
Phone
(503) 827-3949

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
171M00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon