SAMANTHA JOANN DEFREESE

PORTLAND, OR
NPI1033754452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-11-08
Last Update Date2019-11-08
Business Address
Ms. SAMANTHA JOANN DEFREESE
2730 SW MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-494-5121
Mailing Address
Ms. SAMANTHA JOANN DEFREESE
2730 SW MOODY AVE
PORTLAND, OR 97201-5042
Phone number: