Individual
SELENA ELANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
888 NW HILL ST STE 2, BEND, OR 97703-2942
(541) 350-9921
Mailing address
PO BOX 7798, BEND, OR 97708-7798
(541) 350-9921
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
200640147RN
OR
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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