Individual
MONTIA R RABOIN-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
Mailing address
PO BOX 160, PENDLETON, OR 97801-0160
(541) 966-9830
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW109862
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109862
OREGON: TRADITIONAL HEALTH WORKER REGISTRY
OR
Enumeration date
10/12/2023
Last updated
10/12/2023
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