Individual
ANNE-MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
19365 SW 65TH AVE, SUITE 207, TUALATIN, OR 97062-9196
(503) 936-6544
(503) 691-0462
Mailing address
19365 SW 65TH AVE, SUITE 207, TUALATIN, OR 97062-9196
(503) 936-6544
(503) 691-0462
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1604
OR
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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