NPI 1003359753 · live from the CMS NPI Registry
Samantha M Aldrich
Social Worker, Clinical in Hermiston, OR. National Provider Identifier 1003359753, active.
NPI record
| NPI | 1003359753 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 240 E Gladys Ave Ste 4, Hermiston, OR 97838 |
| Practice phone | 541-567-8454 |
| Mailing address | Po Box 692, Stanfield, OR 97875 |
| Enumerated | November 29, 2016 |
| Last updated | January 27, 2020 |
| Sole proprietor | Yes |
| Other names | Samantha Tegner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.