Hurley, Samuel

Hurley, Samuel is an individual health care provider with primary practice located at 619 Nw 6Th Ave Fl 5 , Portland OR 97209-3964. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hurley, Samuel can be contacted via phone (503) 988-7468.

Contact Information

Primary practice address
619 Nw 6Th Ave Fl 5 Portland OR 97209-3964
Phone: (503) 988-7468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1407331531
LBN Legal business name Hurley, Samuel
Credentials CSWA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2018
Last updated Sep 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407331531 NPPES
Oregon MEDICAID 022959

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