Individual
KATHLEEN DIANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MA
Contact information
Practice address
76491 LOCUST ST, OAKRIDGE, OR 97463-9425
(541) 782-5948
Mailing address
PO BOX 142, OAKRIDGE, OR 97463-0142
(541) 782-5948
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
OR
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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