Individual
HALEY MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FAMM
Contact information
Practice address
942 SE 16TH AVE APT 3, PORTLAND, OR 97214-2671
(269) 921-4506
Mailing address
942 SE 16TH AVE APT 3, PORTLAND, OR 97214-2671
(269) 921-4506
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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