Individual
AMANDA MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 N MEADOW LN, SISTERS, OR 97759-3148
(541) 640-9310
Mailing address
1818 NE 138TH AVE UNIT 7, VANCOUVER, WA 98684-7210
(971) 270-8725
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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