Individual
DR. ALICIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3300 SW HOCKEN AVE, SUITE 108, BEAVERTON, OR 97005-2444
(503) 744-5772
(503) 325-9135
Mailing address
3300 SW HOCKEN AVE, SUITE 108, BEAVERTON, OR 97005
(503) 744-5772
(503) 325-9135
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5667
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500769229
—
OR
Enumeration date
08/26/2015
Last updated
04/26/2024
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