Individual
KAYLA DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2222 E POWELL BLVD, GRESHAM, OR 97080-1365
(503) 699-4300
Mailing address
1802 N PINE ST APT D300, CANBY, OR 97013-4462
(503) 413-9370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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