Individual
SIERRA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THW,PSS,CRM
Contact information
Practice address
2995 RYAN DR SE, SALEM, OR 97301-5157
(503) 371-7701
Mailing address
2995 RYAN DR SE, SALEM, OR 97301-5157
(503) 371-7701
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8659318
—
OR
Enumeration date
05/20/2022
Last updated
05/20/2022
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