Individual
JAZMINE J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
75104
WI
207Q00000X
Family Medicine Physician
Primary
FE227354
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100170923
—
WI
Enumeration date
04/02/2019
Last updated
09/19/2025
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