| Sam Tallman, LCSW | |
| 
					855 3rd Street, Wheeler, OR 97147-9999  | |
| (150) 336-8686 | |
| (150) 336-8497 | 
| Full Name | Sam Tallman | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 855 3rd Street, Wheeler, Oregon | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356499842 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2057 (Oregon) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sam Tallman, LCSW Po Box 178, Manzanita, OR 97130-0178 Ph: (150) 336-8686  | Sam Tallman, LCSW 855 3rd Street, Wheeler, OR 97147-9999 Ph: (150) 336-8686  | 
Kimberly B Allen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 230 Rowe St., Wheeler, OR 97147 Phone: 503-368-5182 Fax: 503-368-5590  | |
Jennifer L Travis, QMHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 230 Rowe Rd, Wheeler, OR 97147 Phone: 800-368-5182 Fax: 844-712-3001  |