Individual
MRS. JENNA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6125 SW BOUNDARY ST, PORTLAND, OR 97221-1019
(503) 535-4337
(503) 535-4379
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006518
VA
225X00000X
Occupational Therapist
Primary
257843
OR
Other
Enumeration date
01/19/2011
Last updated
04/20/2026
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