Individual
DR. DEAN LAVERN SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 E ST NW, OFFICE OF MEDICAL SERVICES; US DEPARTMENT OF STATE, WASHINGTON, DC 20522-0001
(202) 663-1680
(202) 663-1717
Mailing address
6105 NW KINGWOOD AVE, REDMOND, OR 97756-9384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16482
OR
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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