Individual
ALISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
2555 SILVERTON RD NE, SALEM, OR 97301-0837
(503) 393-4273
Mailing address
4251 CLAXTER CT NE APT 522, SALEM, OR 97301-2319
(971) 312-8413
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000104959
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000104959
OHA OFFICE OF EQUITY AND INCLUSION TRADITIONAL HEALTHCARE WORKER
OR
Enumeration date
07/02/2021
Last updated
04/28/2023
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