Individual
SIRI SMITHBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5054 BOOTH HILL RD, HOOD RIVER, OR 97031-9400
(608) 225-6179
Mailing address
5054 BOOTH HILL RD, HOOD RIVER, OR 97031-9400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5405
OR
Other
Enumeration date
01/22/2021
Last updated
01/17/2022
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