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1154993566
SAMANTHA STATLER
TIGARD, OR
NPI
1154993566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-21-709)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
SAMANTHA STATLER
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
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Mailing Address
SAMANTHA STATLER
10763 SW GREENBURG RD STE 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
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