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Individual

DR. DENNIS B SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
827 NW 25TH AVE, PORTLAND, OR 97210-3808
(503) 224-3077
(503) 224-6129
Mailing address
827 NW 25TH AVE, PORTLAND, OR 97210-3808
(503) 224-3077
(503) 224-6129

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
15002
OR

Other

Enumeration date
01/13/2012
Last updated
01/13/2012
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