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Individual

DR. CINDY JEAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5915
(541) 758-5916
Mailing address
3800 NW VAN BUREN AVE, CORVALLIS, OR 97330-4954
(541) 754-1243
(541) 754-5916

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD 24409
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
226926
OR
Enumeration date
02/12/2007
Last updated
07/09/2007
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