Individual
KELLY MAKANA SMITH- LADORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
425 ALEXANDER LOOP, EUGENE, OR 97401-6524
(541) 345-6199
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
(808) 242-5835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15393
OR
Other
Enumeration date
11/28/2011
Last updated
05/23/2016
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