Individual
CAITLIN SMIGELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3151
(503) 418-9473
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3151
(503) 418-9473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61340
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700255601
—
WA
Enumeration date
09/21/2015
Last updated
04/16/2020
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