Individual
CHRISTOPHER JASON SMITH
Active
Individual
CHRISTOPHER JASON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
PA164650
OR
208VP0014X
Interventional Pain Medicine Physician
Primary
PA164650
OR
363A00000X
Physician Assistant
PA164650
OR
Other
Enumeration date
08/19/2013
Last updated
04/22/2024
Update your record
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