Individual
MANDALYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
226 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 601-7400
Mailing address
155 N 575 E, NORTH SALT LAKE, UT 84054-3168
(385) 529-8298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
03/27/2025
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