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1043808520
SAMANTHA JANE BERRY
SALEM, OR
NPI
1043808520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-01-09
Last Update Date
2022-10-18
Business Address
SAMANTHA JANE BERRY
1160 LIBERTY ST SE
SALEM, OR 97302-4143
Phone number: 503-391-9762
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Mailing Address
SAMANTHA JANE BERRY
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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