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Individual

HEIDI E SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
(541) 613-6505
(541) 770-9212
Mailing address
610 HIGH ST, OREGON CITY, OR 97045-2241
(503) 657-8903
(503) 266-8632

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25571
CA
225100000X
Physical Therapist
Primary
5374
OR
2251P0200X
Pediatric Physical Therapist
5374
OR

Other

Enumeration date
05/07/2007
Last updated
07/01/2025
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