Individual provider · Type 1 NPI

Sam Updike

Mental Health Counselor · Beaverton, OR

NPI number 1851677652 Active

Practice location

10120 SW Cynthia St
Beaverton, OR 97008-6078

Call (503) 810-7348 Map

Mailing address

11970 SW Greenburg Rd
Tigard, OR 97223-6453

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1851677652

Sam Updike's National Provider Identifier is 1851677652, issued on Oct 25, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaverton, OR. The record was last updated on Oct 25, 2011.