Organization
JUDITH A. SMITH, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH A SMITH PSYD (PRESIDENT)
(503) 239-7201
Entity
Organization
Contact information
Practice address
1732 SE ASH ST, PORTLAND, OR 97214-1526
(503) 239-7201
(503) 774-4589
Mailing address
1732 SE ASH ST, PORTLAND, OR 97214-1526
(503) 239-7201
(503) 774-4589
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0945
OR
Other
Enumeration date
02/09/2006
Last updated
03/26/2009
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