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Individual

CHRISTOPHER JASON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
800 NE CIRCLE BLVD, CORVALLIS, OR 97330-4256
(541) 286-4742
(833) 450-5933
Mailing address
800 NE CIRCLE BLVD, CORVALLIS, OR 97330-4256
(541) 286-4742
(833) 450-5933

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
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