Individual
MR. GREGORY ISRAEL SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8336 HIGHWAY 62 # 101, WHITE CITY, OR 97503-1024
(541) 826-7410
Mailing address
8336 HIGHWAY 62 # 101, WHITE CITY, OR 97503-1024
(541) 826-7410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
16093
CA
363A00000X
Physician Assistant
Primary
PA196853
OR
363AM0700X
Medical Physician Assistant
PA16093
PA
Other
Enumeration date
11/27/2006
Last updated
10/16/2024
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