Individual
DR. STEPHANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1111 NE 99TH AVE, PORTLAND, OR 97220-9428
(503) 216-5410
Mailing address
1111 NE 99TH AVE, PORTLAND, OR 97220-9428
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
61130
OR
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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