Individual
MS. ANGELA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDM
Contact information
Practice address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(541) 258-2101
(541) 451-7862
Mailing address
600 N 8TH ST, AUMSVILLE, OR 97325-8959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
743
OR
Other
Enumeration date
01/08/2007
Last updated
01/27/2012
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