Individual
TRENTON MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(888) 757-3422
Mailing address
6558 APOLLO RD, WEST LINN, OR 97068-2801
(559) 908-3944
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1063683
OR
225XP0019X
Physical Rehabilitation Occupational Therapist
5665
CA
Other
Enumeration date
08/04/2010
Last updated
04/28/2011
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