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Individual

TERI LEE SMITS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9766 SW SILETZ DR, TUALATIN, OR 97062-9559
(503) 704-2252
Mailing address
9766 SW SILETZ DR, TUALATIN, OR 97062-9559
(503) 704-2252

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
200743122RN
OR

Other

Enumeration date
05/01/2018
Last updated
05/01/2018
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