Individual
TAWNY MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 TALENT AVE APT 31, TALENT, OR 97540-8719
(541) 301-3892
Mailing address
441 TALENT AVE APT 31, TALENT, OR 97540-8719
(541) 301-3892
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
25-QMHA-R-6441
OR
Other
Enumeration date
01/08/2025
Last updated
01/10/2025
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