NPI 1508459579

Leeann Mashauna Smith, CRM

Practitioner Prevention Professional Pendleton, OR

Practice location

Address: 46314 Timine Way, Pendleton, OR 97801-9417
Phone: (541) 966-9830
Fax: (541) 240-8754

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 21-CRM-373 (OR)

Other Prevention Professional providers in Oregon →

Registry record

NPI: 1508459579
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2021
Record last updated: 19 Feb 2021

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.