Individual
HILARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
06944
OR
2251P0200X
Pediatric Physical Therapist
Primary
18505
MA
Other
Enumeration date
02/05/2009
Last updated
07/31/2012
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