Individual
JORDYNA PAIGE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
Mailing address
65 N HIGHWAY 101 STE 204, WARRENTON, OR 97146-9371
(503) 325-5722
(503) 861-2043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/06/2022
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