Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn McCoy Samsom

Individual provider Mental Health Counselor · NPI 1710282710

Kathryn McCoy Samsom is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2011
Specialties on file
2

Practice location Address checks out

10373 NE Hancock St
Portland, OR 97220-3873
Phone: (503) 238-0769
Fax: (503) 552-6208
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 099007163RN (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1710282710
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 21, 2011
Last updated in NPPESJanuary 21, 2011

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