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Individual

MR. DANIEL LAWRENCE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1500
(503) 873-1534
Mailing address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9066

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
202000788CRNA-PP
OR

Other

Enumeration date
08/10/2017
Last updated
02/25/2020
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