Individual
MIKAILA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10305 E BURNSIDE ST, PORTLAND, OR 97216-2733
(503) 988-6400
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
(503) 690-9605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
11/23/2016
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