Individual
DIANA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 W BURNSIDE ST # 31, PORTLAND, OR 97209-2113
(971) 217-3653
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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