Individual
MARILYN P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 SW STARK ST, 8TH FLOOR, PORTLAND, OR 97204-2347
(503) 988-3674
(503) 988-3676
Mailing address
426 SW STARK ST, 8TH FLOOR, PORTLAND, OR 97204-2347
(503) 988-3674
(503) 988-3676
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0610
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OR
Enumeration date
05/21/2008
Last updated
05/21/2008
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