Individual
MIKINZIE SMOOT,
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
820 N 5TH ST, JACKSONVILLE, OR 97530-9028
(541) 621-1883
Mailing address
820 N 5TH ST, JACKSONVILLE, OR 97530-9028
(541) 621-1883
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
3095
OR
Other
Enumeration date
10/28/2014
Last updated
12/16/2022
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