Individual
DEBORAH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 SEQUOIA CT, FOREST GROVE, OR 97116-2149
(503) 238-0769
Mailing address
1804 SEQUOIA CT, FOREST GROVE, OR 97116-2149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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