Individual provider · Type 1 NPI

Samantha Landis

Mental Health Counselor · Gladstone, OR

NPI number 1114704517 Active

Practice location

880 82nd Dr
Gladstone, OR 97027-1803

Call (971) 378-0367 Map

Fax (503) 974-9679

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Social Worker 104100000XA17679 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1114704517

Samantha Landis's National Provider Identifier is 1114704517, issued on Sep 11, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gladstone, OR. The record was last updated on Jul 28, 2026.