Individual
VICTORIA I SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T., L.M.T.
Contact information
Practice address
11900 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 620-5556
(503) 624-0118
Mailing address
11900 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 620-5556
(503) 624-0118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6967
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558597732
—
WA
05
—
500661639
—
OR
Enumeration date
06/02/2009
Last updated
12/20/2021
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