Individual
JOHN ALEXANDER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-2881
(503) 352-2929
Mailing address
2043 COLLEGE WAY, FOREST GROVE, OR 97116-1756
(503) 352-2881
(503) 352-2929
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
1509ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222190
—
OR
Enumeration date
07/06/2006
Last updated
07/08/2007
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