Individual
MR. JAARON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1321 NE 99TH AVE STE 200, PORTLAND, OR 97220-9439
(503) 215-4250
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3461
OR
Other
Enumeration date
09/16/2015
Last updated
04/25/2023
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