Individual
MR. DANIEL EARL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
2547 NE 47TH AVE, PORTLAND, OR 97213-1917
(503) 286-9519
Mailing address
2547 NE 47TH AVE, PORTLAND, OR 97213-1917
(503) 286-9519
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
200740828RN
OR
Other
Enumeration date
11/22/2010
Last updated
02/04/2022
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