Individual
AMBERLY JOY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1077 GATEWAY LOOP, SPRINGFIELD, OR 97477-1114
(541) 485-6478
(541) 868-9606
Mailing address
PO BOX 40954, EUGENE, OR 97404-0169
(970) 581-1740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA207901
OR
Other
Enumeration date
11/19/2021
Last updated
04/11/2024
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