Individual
DR. JILL SMOLEVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(971) 291-3208
Mailing address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(847) 528-9920
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125063050
IL
2086S0129X
Vascular Surgery Physician
Primary
188080
OR
Other
Enumeration date
06/24/2013
Last updated
02/10/2023
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