Individual
MRS. CARLENE MERCIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2360 CHAMBERS ST, EUGENE, OR 97405-1861
(541) 687-1310
Mailing address
1150 DARLENE LN, #158, EUGENE, OR 97401-1551
(541) 513-2084
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1007012
OR
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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