Individual
DUSTIN RAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
280 NE KENNETH FORD DR, ROSEBURG, OR 97470-1034
(541) 671-7169
(541) 802-0888
Mailing address
280 NE KENNETH FORD DR, ROSEBURG, OR 97470-1034
(541) 671-7169
(541) 802-0888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10039311
OR
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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