Individual
JESSICA SMEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 NE 87TH AVE STE 460, VANCOUVER, WA 98664-1965
(360) 514-7771
Mailing address
124 N HAYDEN BAY DR, PORTLAND, OR 97217-7959
(360) 607-9906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60995062
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/16/2018
Last updated
09/23/2019
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