Individual
DONEA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 SE POWELL BLVD, PORTLAND, OR 97202-2345
(503) 226-4060
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-CRM-1797
OR
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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