Individual provider · Type 1 NPI

Samuel Wirshup

Mental Health Counselor · Portland, OR

NPI number 1730547290 Active

Practice location

17710 NE Halsey St
Portland, OR 97230-6734

Fax (503) 328-8499

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730547290

Samuel Wirshup's National Provider Identifier is 1730547290, issued on Jan 29, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 19, 2016.