Individual
MR. GREGORY R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
310 NW 5TH ST, SUITE 104, CORVALLIS, OR 97330-4842
(541) 754-1809
Mailing address
2625 SW WHITESIDE DR, CORVALLIS, OR 97333-1416
(541) 754-1809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3034
OR
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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