Individual
LESLIE KAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3016 NE BROADWAY ST, PORTLAND, OR 97232-1811
(503) 287-6636
Mailing address
3128 NE 60TH AVE, PORTLAND, OR 97213-3914
(503) 281-1487
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2161
OR
Other
Enumeration date
11/14/2005
Last updated
11/01/2007
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