Anderson, Samantha Kelly
Anderson, Samantha Kelly is an individual health care provider with primary practice located at 1601 E Fourth Plain Blvd , Vancouver WA 98661-3713. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Anderson, Samantha Kelly can be contacted via phone (360) 397-8246.Contact Information
Primary practice address
1601 E Fourth Plain Blvd
Vancouver WA 98661-3713
Phone: (360) 397-8246
Fax: (360) 397-8250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CO60912422 | Washington |
Profile Details
| NPI number | 1164994109 |
|---|---|
| LBN Legal business name | Anderson, Samantha Kelly |
| Credentials | CDPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2018 |
| Last updated | Dec 31st, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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