Individual
MISS MICHELLE AUTUMN SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
919 NE 3RD ST, MCMINNVILLE, OR 97128
(503) 434-5124
Mailing address
617 NE CENTER ST, SHERIDAN, OR 97378-1313
(971) 241-0763
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
13209
OR
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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