Individual
MS. TAMI LYNETTE SMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, PT
Contact information
Practice address
9220 SE TOLBERT ST, CLACKAMAS, OR 97015-9634
(503) 730-1204
Mailing address
9220 SE TOLBERT ST, CLACKAMAS, OR 97015-9634
(503) 730-1204
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT1520
OR
208100000X
Physical Medicine & Rehabilitation Physician
PT60157690
WA
Other
Enumeration date
08/01/2006
Last updated
02/05/2013
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