Individual
MARVIN C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
15700 SW GREYSTONE CT, BEAVERTON, OR 97006-6011
(503) 494-3151
Mailing address
6100 SW 196TH AVE, BEAVERTON, OR 97078-4343
(503) 502-8586
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
5011
OR
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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