Healthcare Provider Details

I. General information

NPI: 1326995978
Provider Name (Legal Business Name): SAMANTHA USI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 W RIVERSIDE AVE # 10137
SPOKANE WA
99201-0580
US

IV. Provider business mailing address

1380 JORDAN CT
OAK HARBOR WA
98277-7310
US

V. Phone/Fax

Practice location:
  • Phone: 850-776-1300
  • Fax:
Mailing address:
  • Phone: 360-364-0887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: