Individual
DR. JUDITH A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1732 SE ASH ST, PORTLAND, OR 97214-1526
(503) 239-7201
(503) 477-9333
Mailing address
1732 SE ASH ST, PORTLAND, OR 97214-1526
(503) 239-7201
(503) 477-9333
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
945
OR
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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