Individual
MISAO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 ALDER ST, EUGENE, OR 97405-4213
(541) 409-3011
Mailing address
3015 ALDER ST, EUGENE, OR 97405-4213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
10/19/2016
Last updated
08/03/2017
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