Summers, Samantha Renae

Summers, Samantha Renae is an individual health care provider with primary practice located at 1401 N 10Th Ave , Stayton OR 97383-1311. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Summers, Samantha Renae can be contacted via phone (503) 302-2459.

Contact Information

Primary practice address
1401 N 10Th Ave Stayton OR 97383-1311
Phone: (503) 302-2459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Community Health Worker 172V00000X THW000110507 Oregon

Profile Details

NPI number 1871135533
LBN Legal business name Summers, Samantha Renae
Credentials CHW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2019
Last updated Mar 12th, 2024 - about last year

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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