Individual
MR. ANDREW PAUL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
28975 SW ORLEANS AVE APT 305, WILSONVILLE, OR 97070-7357
(760) 793-3046
Mailing address
28975 SW ORLEANS AVE APT 305, WILSONVILLE, OR 97070-7357
(760) 793-3046
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26357
OR
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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