Individual
CAROLINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
847 NE 19TH AVE STE 150, PORTLAND, OR 97232-2686
(503) 222-0707
Mailing address
847 NE 19TH AVE STE 150, PORTLAND, OR 97232-2686
(503) 222-0707
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TH0100X
Health Service Psychologist
2683
OR
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/29/2013
Last updated
06/21/2023
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