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SAMUEL ROBERTSON
NPI 1700258720
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since October 29, 2015
1631 SW COLUMBIA ST, PORTLAND, OR 97201(503) 231-2641 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Robertson NPPES

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

SAMUEL ROBERTSON (NPI 1700258720) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1700258720
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSAMUEL ROBERTSON
Location Address1631 SW COLUMBIA STPortland, OR 97201-6025
Mailing Address5398 Se Malden DrPortland, OR 97206-0880 · (605) 730-2746
Phone(503) 231-2641
Sole ProprietorNo
Enumeration DateOctober 29, 2015
✔ NPI 1700258720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1631 SW COLUMBIA ST, Portland, OR 97201
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Other Providers at the Same Location NPPES 20

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

SUSAN ELMORE MD
Psychologist
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
ANDULIA WHITE ELK CADCI
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
PEGGY LACOMBE CADCII
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
PAMELA YOUNG RN
Registered Nurse
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
DAREN KEVIN FORD MSW, CSWA, CADCII
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
JEANINE RITA DIXON CACD III
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
NARA
Substance Abuse Rehabilitation Facility
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
REBEKAH SUE BARILE BA CADC I
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 321-2641

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 Samuel Robertson's NPI number?

The NPI number for Samuel Robertson is 1700258720. It was assigned to this individual provider in the NPPES registry on October 29, 2015.

Where is Samuel Robertson located?

Samuel Robertson practices at 1631 SW Columbia St, Portland, OR 97201. The listed phone number is (503) 231-2641.

What is Samuel Robertson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Samuel Robertson was last updated on October 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.