Alice Marie Sampson, CSWA/CADC II is a
Social Worker - Clinical based in Portland, Oregon. Alice Marie Sampson is licensed to practice in Oregon (license number A3588) and her current practice location is
1631 Sw Columbia St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 231-2641.
NPI number for Alice Marie Sampson is 1235671637 and her current mailing address is 1776 Sw Madison St, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235671637.
Healthcare Provider's Profile
Full Name | Alice Marie Sampson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1631 Sw Columbia St, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235671637
- Provider Enumeration Date: 11/16/2016
- Last Update Date: 11/16/2016
Medical Identifiers
Medical identifiers for Alice Marie Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235671637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 93-02-02 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | A3588 (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. Alice Marie Sampson 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 Address | Practice Location Address |
Alice Marie Sampson, CSWA/CADC II 1776 Sw Madison St, Portland, OR 97205-1715 Ph: (971) 386-2278 | Alice Marie Sampson, CSWA/CADC II 1631 Sw Columbia St, Portland, OR 97201-6025 Ph: (503) 231-2641 |
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