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Individual

DR. JOHN WASHBURN SMITH II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5050 NE HOYT ST, STE 256, PORTLAND, OR 97213-2982
(503) 239-7767
(503) 215-6897
Mailing address
5050 NE HOYT ST, STE 256, PORTLAND, OR 97213-2982
(503) 239-7767
(503) 215-6897

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD20151
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010081
WA
05
82339
OR
Enumeration date
05/27/2005
Last updated
03/14/2012
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