Healthcare Provider Details

I. General information

NPI: 1871417923
Provider Name (Legal Business Name): SAMANTHA SPIES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9955 SW BEAVERTON HILLSDALE HWY STE 115
BEAVERTON OR
97005-3228
US

IV. Provider business mailing address

5462 SW DOVER LN
PORTLAND OR
97225-1000
US

V. Phone/Fax

Practice location:
  • Phone: 503-567-2231
  • Fax: 888-895-4828
Mailing address:
  • Phone: 503-329-9281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number015801
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: