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

Samantha Renae Summers, CHW

Individual provider Behavior Technician · NPI 1871135533

Samantha Renae Summers, CHW is a Behavior Technician in Stayton, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1401 N 10th Ave
Stayton, OR 97383-1311
Phone: (503) 302-2459
Show map & directions

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

Additional practice locations (1)

  • 5372 Fox Ct S, Salem, OR 97306-2324 — (503) 979-9173

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence THW000110507 (OR)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1871135533
Entity typeIndividual (Type 1)
GenderFemale
Credentials CHW
Sole proprietorNo
NPI enumeratedOctober 15, 2019
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024