Individual
DOREEN BONNIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
489 COMMERCIAL STREET, NORTH BEND, OR 97459-2904
(503) 307-5414
Mailing address
489 COMMERCIAL STREET, NORTH BEND, OR 97459-2904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012330
OR
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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