Individual
GRACE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 N MERIDIAN ST, NEWBERG, OR 97132-2697
(503) 538-8383
Mailing address
12455 SW GINGHAM LN APT B, BEAVERTON, OR 97008-8235
(408) 314-2093
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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