Individual
DR. MARK S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 PACIFIC AVE, TILLAMOOK, OR 97141-3926
(503) 842-3900
(503) 842-3903
Mailing address
PO BOX 489, TILLAMOOK, OR 97141-0489
(503) 842-3900
(503) 842-3903
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD26761
OR
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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