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Individual

ARIEL KATHLEEN SMITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4411 SW VERMONT ST, PORTLAND, OR 97219-1020
(503) 494-9992
Mailing address
8013 SE 9TH AVE, PORTLAND, OR 97202-6504

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22458
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
226991
OR
Enumeration date
08/01/2006
Last updated
07/08/2007
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