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

Samantha Renee Jernstrom

Individual provider Counselor · NPI 1083232573

Samantha Renee Jernstrom is a Counselor in Eugene, Oregon. Works from 2 locations. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

132 E Broadway Ste 431
Eugene, OR 97401-3158
Phone: (541) 390-4559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 621 W Madrone St, Roseburg, OR 97470-3090 — (541) 672-2691

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Counselor Taxonomy 101Y00000X (OR)
Behavior Technician Taxonomy 106S00000X (WA)

Record details

NPI number1083232573
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2020
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

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