SAMUEL ALLEN TUCKWIN

GRESHAM, OR
NPI1669161014
Other NameSAM ALLEN TUCKWIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: OR  A14705)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-24-3972)
101YM0800X Counselor, Mental Health
(Licence: OR  23-QMHP-R-2293)
104100000X Social Worker
(Licence: WA  SC61570839)
Enumeration Date2023-05-02
Last Update Date2025-03-28
Business Address
SAMUEL ALLEN TUCKWIN CADC-R/CSWA/QMHP-R
620 NE 2ND ST
GRESHAM, OR 97030-7514
Phone number: 971-274-3757
Mailing Address
SAMUEL ALLEN TUCKWIN CADC-R/CSWA/QMHP-R
211 SE CARUTHERS ST
PORTLAND, OR 97214-4502
Phone number: 503-224-1044