IndividualActive
Jennifer Samsom, MA
NPI 1003129115 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1003129115
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Practice location
2245 Sw Troy St
Portland, OR 97219-2657
Phone: (503) 341-6393
Approximate (ZIP-level) locationGet directions
Mailing address
2245 Sw Troy St
Portland, OR 97219-2657
Registry dates
- Enumerated
- 2010-07-17
- Last updated
- 2022-12-12
- Certified
- 2022-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.