Individual
OLIVIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33461 SE PEORIA RD, CORVALLIS, OR 97333-2521
(541) 704-4022
Mailing address
905 4TH AVE SE, ALBANY, OR 97321-3104
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
A0917
OR
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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