NPI 1508105735

Mary Elizabeth Smith, LMT

Practitioner Other Specialist/Technologist Beaverton, OR

Practice location

Address: 11855sw Ridgecrest Dr #209, Beaverton, OR 97008
Phone: (503) 626-1950
Mailing address: 11855sw Ridgecrest Dr, Beaverton, OR 97008

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 1490 (OR)

Other Specialist/Technologist, Other providers in Oregon →

Registry record

NPI: 1508105735
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2013
Record last updated: 7 Feb 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.