Individual
ALYSA ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4950 NE BELKNAP CT STE 205, HILLSBORO, OR 97124-5115
(503) 560-5822
Mailing address
5656 N WILBUR AVE, PORTLAND, OR 97217-4223
(415) 342-8725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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