Samuel James Wilmarth

NPI #1306412630 in Tigard, Oregon

Provider Information

NPI Number: 1306412630
Entity Type: Individual
Name: Samuel James Wilmarth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: May 27, 2021
Last Updated: Sep 24, 2024

Practice Location

Address: 7555 SW HERMOSO WAY STE 120
City: Tigard
State: Oregon
ZIP Code: 97223-8684
Phone: (503) 345-3260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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