NPI 1104519727

Samantha Lynn Irvin

Practitioner Behavior Technician Woodburn, OR

Practice location

Address: 1605 E Lincoln Rd # Rc, Woodburn, OR 97071-5137
Phone: (503) 982-9300
Mailing address: 1220 McGee CT NE APT 103, Keizer, OR 97303-9442

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Oregon →

Registry record

NPI: 1104519727
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2023
Record last updated: 30 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.