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Individual

SAMUEL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
14403 NE FOURTH PLAIN BLVD STE 110, VANCOUVER, WA 98682-5001
(360) 326-8021
Mailing address
2625 BUTTERFIELD RD STE 301N, OAK BROOK, IL 60523-1266

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038013216
IL
111N00000X
Chiropractor
Primary
CH61143868
WA

Other

Enumeration date
04/02/2019
Last updated
02/09/2021
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