Individual
ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1401 NE 68TH AVE, PORTLAND, OR 97213-4957
(503) 988-4498
(503) 988-4664
Mailing address
1401 NE 68TH AVE, PORTLAND, OR 97213-4957
(503) 988-4498
(503) 988-4664
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LH00004367
WA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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