Individual
SHARLA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17360 HOLY NAMES DR, LAKE OSWEGO, OR 97034-5133
(541) 646-1946
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7676
OR
Other
Enumeration date
08/24/2012
Last updated
08/24/2012
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