Samantha Abukhater

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI 1346924610 · NPPES record last updated Sep 22, 2023

Key facts

NPI: 1346924610
Entity type: Individual (NPI type 1)
Primary specialty: Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address: 1030 NE Couch St
Portland, OR 97232-3067
Phone: (503) 239-8400
NPI assigned: Jun 14, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Coda, Inc. Substance Abuse Rehabilitation Facility · Portland, OR · NPI 1437213865

NPD ADDICTION (SUBSTANCE USE DISORDER)
Coda, Inc. Substance Use Disorder Rehabilitation Clinic/Center · Seaside, OR · NPI 1750912184

NPD
University Professional Services Pharmacy · Beaverton, OR · NPI 1073054714

NPD (past)
University Professional Services Pediatrics Physician · Medford, OR · NPI 1225282122

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Coda, Inc.	Addiction (Substance Use Disorder)	Current since Sep 24, 2023	Accepting new patients
Coda, Inc.		Current since Sep 24, 2023	Accepting new patients
University Professional Services		Past since Sep 24, 2023	Accepting new patients
University Professional Services		Past since Sep 24, 2023	Accepting new patients

Locations

1027 E Burnside St
Portland, OR 97214

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X
Addiction (Substance Use Disorder) Counselor	101YA0400X			Yes

Addresses

Primary practice location

1030 NE Couch St
Portland, OR 97232-3067

Mailing address

1027 E Burnside St
Portland, OR 97214-1328
Phone (503) 239-8400

Other providers in Portland, OR

All providers in Portland, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.