Individual provider · Type 1 NPI

Samantha Wattenburg

Mental Health Counselor · Portland, OR

NPI number 1740927375 Active

Practice location

17640 NE Halsey St
Portland, OR 97230-6733

Fax (503) 489-5638

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

43 other providers at this address

Other mental health counselor providers in Portland

See all in Portland →

About NPI 1740927375

Samantha Wattenburg's National Provider Identifier is 1740927375, issued on May 16, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 9, 2024.