Individual
DALLAS MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 FALK RD, VANCOUVER, WA 98661-5604
(360) 690-3069
(360) 726-5961
Mailing address
2611 NE 104TH ST, VANCOUVER, WA 98686-5761
(360) 281-3576
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61130502
WA
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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