Individual
ALYSSA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
254 NE NORTON LN, MCMINNVILLE, OR 97128-8470
(503) 472-9002
Mailing address
254 NE NORTON LN, MCMINNVILLE, OR 97128-8470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OR
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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