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Individual

MICHELLE ALLISON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHA, CADC II

Contact information

Practice address
2051 KAEN RD, OREGON CITY, OR 97045-4035
(503) 742-5317
Mailing address
2051 KAEN RD, OREGON CITY, OR 97045-4035
(503) 742-5317

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
08-P-01U
OR
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/23/2008
Last updated
03/08/2012
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