Individual
TSEHAY M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14012 SE RUSK RD, MILWAUKIE, OR 97222-3221
(503) 830-7363
(503) 908-3601
Mailing address
14012 SE RUSK RD, MILWAUKIE, OR 97222-3221
(503) 830-7363
(503) 908-3601
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
528045
OR
Other
Enumeration date
08/25/2022
Last updated
08/26/2022
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