Individual
VIRGINIA JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
KAISER PERMANENTE INTERSTATE MEDICAL OFFICE EAST, 3550 N INTERSTATE AVE, PORTLAND, OR 97227-1043
(503) 285-9321
Mailing address
KAISER PERMANENTE INTERSTATE MEDICAL OFFICE EAST, 3550 N INTERSTATE AVE, PORTLAND, OR 97227-1043
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD12639
OR
Other
Enumeration date
08/29/2006
Last updated
07/10/2007
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