Most Relevant Information
Provider Data
NPI Number: | 1003359753 |
Provider Name: | SAMANTHA M ALDRICH |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 11/29/2016 |
Last Updated: | 01/27/2020 |
Provider Practice Location
240 E GLADYS AVE STE 4
HERMISTON
OR
978381800
Practice Location Phone/Fax
Phone: | 5415678454 |
Fax: |
Provider Mailing Location
PO BOX 692
STANFIELD
OR
978750692
Provider Mailing Phone/Fax
Phone: | 5415678454 |
Fax: |