Individual
WALTER ALDINE SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9250 SW HALL BLVD, TIGARD, OR 97223
(503) 293-0161
(503) 452-3200
Mailing address
9250 SW HALL BLVD, TIGARD, OR 97223
(503) 293-0161
(503) 452-3200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD08529
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262493
—
OR
Enumeration date
09/28/2006
Last updated
06/25/2012
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