Samantha Jean Blaine

NPI #1366193294 in La Grande, Oregon

Provider Information

NPI Number: 1366193294
Entity Type: Individual
Name: Samantha Jean Blaine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 12, 2022
Last Updated: Jan 12, 2022

Practice Location

Address: 2301 COVE AVE
City: La Grande
State: Oregon
ZIP Code: 97850-3906
Phone: (541) 962-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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