Samuel Russell Waggoner
Addiction (Substance Use Disorder) Counselor
2727 Ne Flanders St, Portland
Oregon, 97232-3159
503-238-5203 Maps & DirectionsSamuel Russell Waggoner is a Portland, Oregon based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Samuel Russell Waggoner is T-22-1492 for Addiction (Substance Use Disorder) Counselor in Oregon. His current practice location is 2727 Ne Flanders St, Portland. Patients can book an appointment with him at 503-238-5203.
Samuel Russell Waggoner is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Samuel Russell Waggoner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Samuel Russell Waggoner |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2727 Ne Flanders St, Portland,
Oregon, 97232-3159 |
| Phone: | 503-238-5203 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1316658974 |
| NPI Enumeration Date: | 05 Dec, 2022 |
| NPI Last Update On: | 05 Dec, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel Russell Waggoner are as mentioned below.
| License Number | Specialization | State | Status | |
| T-22-1492 | Addiction (Substance Use Disorder) Counselor | Oregon | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2901 E Burnside St,
Portland, Oregon |
| Zip: | 97214-1831 |
| Phone Number: | 503-238-5203 |
Patients can reach Samuel Russell Waggoner at
2727 Ne Flanders St, Portland, Oregon or can
call to book an appointment on 503-238-5203.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.