Individual
MERCEDES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1555 SW 35TH ST, CORVALLIS, OR 97333-1130
(541) 757-3803
Mailing address
3088 WILT AVE SE, ALBANY, OR 97322-5860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201610232RN
OR
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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