Individual
DR. DARREN A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, DACBSP
Contact information
Practice address
4829 NE MLK BLVD, PORTLAND, OR 97211-3491
(360) 635-2525
Mailing address
2930 NW IVY LN, CAMAS, WA 98607-7958
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3049
OR
Other
Enumeration date
11/20/2006
Last updated
02/23/2012
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