Individual
DARIEN DANIELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 VETERANS DR, THE DALLES, OR 97058-9757
(541) 296-7190
Mailing address
601 E 12TH ST, THE DALLES, OR 97058-2758
(360) 931-5552
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
11/15/2023
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