Individual provider · Type 1 NPI

Samantha Jane Berry

Addiction (Substance Use Disorder) Counselor · Salem, OR

NPI number 1043808520 Active

Practice location

1160 Liberty St SE
Salem, OR 97302-4143

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043808520

Samantha Jane Berry's National Provider Identifier is 1043808520, issued on Jan 9, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Oct 18, 2022.