Individual
DIANE Y. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E HEREFORD ST, GLADSTONE, OR 97027-2165
(503) 656-0393
Mailing address
220 E HEREFORD ST, GLADSTONE, OR 97027-2165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01235
OR
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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