Individual
MRS. LORI KAY WATERSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1778 NE CORNELL RD, HILLSBORO, OR 97124-2740
(503) 648-6621
Mailing address
2329 NE 11TH AVE, HILLSBORO, OR 97124-1364
(503) 846-1732
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
985865
OR
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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