Individual
BETHANY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2217 TEAKWOOD AVE NW, SALEM, OR 97304-1344
(503) 583-6366
Mailing address
2217 TEAKWOOD AVE NW, SALEM, OR 97304-1344
(503) 583-6366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10009458
OR
Other
Enumeration date
09/30/2025
Last updated
10/02/2025
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