Individual
HEATHER N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3036 NE MLK JR BLVD, PORTLAND, OR 97212-3053
(503) 889-2500
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200842887RN
OR
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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