Individual
JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
(971) 339-9240
Mailing address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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