Individual
LAURA M. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18180 VAN FLEET AVE, SANDY, OR 97055-8389
(503) 668-5854
Mailing address
18180 VAN FLEET AVE, SANDY, OR 97055-8389
(503) 668-5854
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5987
OR
Other
Enumeration date
03/01/2011
Last updated
01/14/2020
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