Individual
JEDIDIAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7393 SE 118TH DR, PORTLAND, OR 97266-4929
(971) 381-2769
Mailing address
7393 SE 118TH DR, PORTLAND, OR 97266-4929
(971) 381-2769
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T2571
OR
Other
Enumeration date
01/29/2019
Last updated
07/28/2025
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