Individual
MR. ERIC J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7805 SE 35TH AVE, PORTLAND, OR 97202-8409
(503) 775-9831
Mailing address
7805 SE 35TH AVE, PORTLAND, OR 97202-8409
(503) 775-9831
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1002
OR
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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