Individual provider · Type 1 NPI

Samantha White

Peer Specialist · Portland, OR

NPI number 1013659309 Active

Practice location

12121 E Burnside St
Portland, OR 97216-3737

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW106281 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1013659309

Samantha White's National Provider Identifier is 1013659309, issued on Apr 8, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Apr 8, 2022.