Individual
GARETH ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
14825 SW FARMINGTON RD, BEAVERTON, OR 97007-2724
(503) 753-1844
Mailing address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
(503) 753-1844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60159863
WA
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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