Individual
DR. AMY J. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2600 CENTER ST NE, BUILDING 33, SALEM, OR 97301-2669
(503) 945-0966
(503) 378-2177
Mailing address
2600 CENTER ST NE, BUILDING 33, SALEM, OR 97301-2669
(503) 945-0966
(503) 378-2177
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1837
OR
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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