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Individual

MS. BEVERLY J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
24499 SW GRAHAMS FERRY RD, CCCF HEALTH SERVICES, WILSONVILLE, OR 97070-7523
(503) 570-6727
(503) 570-6714
Mailing address
3450 KINGS VALLEY HWY, DALLAS, OR 97338-9492
(503) 881-8456
(503) 623-6345

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
OR

Other

Enumeration date
02/28/2007
Last updated
07/08/2007
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