Individual provider · Type 1 NPI

Samantha Sue Gibson

Addiction (Substance Use Disorder) Counselor · Ontario, OR

NPI number 1255095600 Active

Practice location

686 NW 9th St
Ontario, OR 97914-1600

Call (541) 889-2490 Map

Fax (541) 889-5102

Mailing address

702 Sunset Dr
Ontario, OR 97914-3121

Other practice locations

  • 702 Sunset Dr, Ontario, OR 97914-3121 · (541) 889-9167

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 1255095600

Samantha Sue Gibson's National Provider Identifier is 1255095600, issued on Oct 22, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ontario, OR. The record was last updated on Oct 22, 2021.