Kathryn Mccoy Samsom, - Counselor in Portland, OR

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Kathryn Mccoy Samsom, is a Registered Nurse - Psychiatric/mental Health based in Portland, Oregon. Kathryn Mccoy Samsom is licensed to practice in Oregon (license number 099007163RN) and her current practice location is 10373 Ne Hancock St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 238-0769.

NPI number for Kathryn Mccoy Samsom is 1710282710 and her current mailing address is Po Box 8459, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710282710.

Contact Information

Kathryn Mccoy Samsom,
10373 Ne Hancock St,
Portland, OR 97220-3873
(503) 238-0769
(503) 552-6208

Map and Direction


Healthcare Provider's Profile

Full NameKathryn Mccoy Samsom
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location10373 Ne Hancock St, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710282710
  • Provider Enumeration Date: 01/21/2011
  • Last Update Date: 01/21/2011

Medical Identifiers

Medical identifiers for Kathryn Mccoy Samsom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710282710NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health 099007163RN (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Mccoy Samsom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathryn Mccoy Samsom,
Po Box 8459,
Portland, OR 97207-8459

Ph: (503) 238-0769		Kathryn Mccoy Samsom,
10373 Ne Hancock St,
Portland, OR 97220-3873

Ph: (503) 238-0769

Reviews and Comments


Registered Nurse in Portland, OR


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