NPI 1003247743

Bethany Smith

Practitioner Contractor Woodburn, OR

Practice location

Address: 559 Glatt Cir STE 1, Woodburn, OR 97071-9675
Phone: (503) 981-4591
Fax: (503) 982-3308

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 20238 (OR)

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Registry record

NPI: 1003247743
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2013
Record last updated: 5 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.