Individual
JULIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1546 SE 169TH PL, PORTLAND, OR 97233-4416
(217) 799-8060
Mailing address
1546 SE 169TH PL, PORTLAND, OR 97233-4416
(217) 799-8060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06123
OR
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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