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Individual

DR. NATHAN A SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO176949
OR
208600000X
Surgery Physician
PG155161
OR

Other

Enumeration date
06/27/2011
Last updated
11/11/2020
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