Individual
MR. DOYAL DEAN SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-1
Contact information
Practice address
9111 NE SUNDERLAND RD, PORTLAND, OR 97211-1708
(503) 280-6646
Mailing address
19605 SE 37TH WAY, CAMAS, WA 98607-1402
(503) 280-6646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
11/26/2012
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