Individual
KIMBERLY ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 224-2031
Mailing address
16667 NW NORWALK DR, BEAVERTON, OR 97006-5280
(503) 617-9001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1066788
OR
Other
Enumeration date
04/16/2011
Last updated
04/16/2011
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