Individual
NORMAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2721 A ST, #121, FOREST GROVE, OR 97116-1444
(208) 412-1445
Mailing address
2721 A ST, #121, FOREST GROVE, OR 97116-1444
(208) 412-1445
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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