Samantha Lynn Irvin

NPI #1104519727 in Woodburn, Oregon

Provider Information

NPI Number: 1104519727
Entity Type: Individual
Name: Samantha Lynn Irvin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 30, 2023
Last Updated: May 30, 2023

Practice Location

Address: 1605 E LINCOLN RD # RC
City: Woodburn
State: Oregon
ZIP Code: 97071-5137
Phone: (503) 982-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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