IndividualActive
Samantha Statler
NPI 1154993566 · Addiction (Substance Use Disorder) Counselor · Tigard, OR
Provider details
- NPI number
- 1154993566
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- T-21-709 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10763 Sw Greenburg Rd Ste 100
Tigard, OR 97223-5492
Phone: (503) 684-8159
Street-level locationGet directions
Mailing address
10763 Sw Greenburg Rd Ste 100
Tigard, OR 97223-5492
Registry dates
- Enumerated
- 2021-07-14
- Last updated
- 2021-07-14
- Certified
- 2021-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.