Individual
MS. DEBORAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 BETHEL AVE STE A, PORT ORCHARD, WA 98366-4236
(360) 509-3774
Mailing address
412 SW LOTUS CT, PORT ORCHARD, WA 98367-7200
(360) 874-9765
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00012238
WA
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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