Individual
DR. DOUGLAS A. SMYTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
700 NW 3RD ST, CORVALLIS, OR 97330-6202
(541) 485-4905
Mailing address
2538 VAN NESS ST, EUGENE, OR 97403-1864
(541) 485-4905
(541) 485-4905
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1345
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262369
OMAP
OR
Enumeration date
05/30/2006
Last updated
07/08/2007
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