Individual
WILLIAM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
761 SW DARCY AVE, SILETZ, OR 97380-2019
(541) 574-9570
(541) 574-8857
Mailing address
761 SW DARCY AVE, SILETZ, OR 97380-2019
(541) 574-9570
(541) 574-8857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10-09-50
OR
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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