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EBONI DEE SAMUELS
NPI 1639985252
Case Manager/Care Coordinator in Portland, OR

Active since December 09, 2024
14355 N BYBEE LAKE CT, PORTLAND, OR 97203(971) 716-3309 Get Directions Write a Review

NPPES record last updated: December 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 25, 2024, Dec 17, 2024, Dec 9, 2024 (3 updates tracked since 2024).

About Eboni Dee Samuels NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONI DEE SAMUELS (NPI 1639985252) is an individual case manager/care coordinator provider in Portland, Oregon and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1639985252
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameEBONI DEE SAMUELS
Location Address14355 N BYBEE LAKE CTPortland, OR 97203-6495
Mailing Address945 Nw Naito Pkwy Apt 535Portland, OR 97209-4718 · (916) 271-0685
Phone(971) 716-3309
Sole ProprietorYes
Enumeration DateDecember 9, 2024
Last NPPES UpdateDecember 25, 20243 updates tracked since enumeration
NPPES CertifiedDecember 25, 2024
✔ NPI 1639985252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
14355 N BYBEE LAKE CT, Portland, OR 97203
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID PUMAREJO
Counselor (Addiction (Substance Use Disorder))
14355 N BYBEE LAKE CT
PORTLAND, OR 97203
Multnomah County (503) 343-1999
BENJAMIN R LOPEZ
Social Worker
14355 N BYBEE LAKE CT
PORTLAND, OR 97203
Multnomah County (503) 470-0829
MEDICINE OF THE PEOPLE
Chiropractor
14355 N BYBEE LAKE CT
PORTLAND, OR 97203
Multnomah County (760) 703-3293
OUTSIDE IN
Clinic/Center (Federally Qualified Health Center (FQHC))
14355 N BYBEE LAKE CT
PORTLAND, OR 97203
Multnomah County (503) 535-3800
AWAKENINGS BYBEE CENTER LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
14355 N BYBEE LAKE CT
PORTLAND, OR 97203
Multnomah County (806) 669-7976

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eboni Samuels's NPI number?

The NPI number for Eboni Samuels is 1639985252. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Eboni Samuels located?

Eboni Samuels practices at 14355 N Bybee Lake Ct, Portland, OR 97203. The listed phone number is (971) 716-3309.

What is Eboni Samuels's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Eboni Samuels was last updated on December 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.