Individual
MR. SCOTT MONTGOMERY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9450 SW BARNES RD STE 280, PORTLAND, OR 97225-6673
(503) 203-6855
(503) 203-6922
Mailing address
9450 SW BARNES RD STE 280, PORTLAND, OR 97225-6673
(503) 203-6855
(503) 203-6922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11818
OR
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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