Individual
DR. JULIE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Contact information
Practice address
8931 SE FOSTER RD, PORTLAND, OR 97266-4661
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D9062
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS029168L
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD28633
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006844
—
OR
05
—
5055744
—
WA
05
—
808003900
—
ID
Enumeration date
12/08/2005
Last updated
11/13/2018
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