| Judith A. Smith, Psy.d., P.c. | |
|
1732 Se Ash St Portland OR 97214-1526 | |
| (503) 239-7201 | |
| (503) 774-4589 |
| Full Name | Judith A. Smith, Psy.d., P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1732 Se Ash St, Portland, Oregon |
| Authorized Official Name and Position | Judith A Smith (PRESIDENT) |
| Authorized Official Contact | 5032397201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith A. Smith, Psy.d., P.c. 1732 Se Ash St Portland OR 97214-1526 Ph: (503) 239-7201 | Judith A. Smith, Psy.d., P.c. 1732 Se Ash St Portland OR 97214-1526 Ph: (503) 239-7201 |
| NPI Number | 1487627444 |
|---|---|
| Provider Enumeration Date | 02/09/2006 |
| Last Update Date | 03/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487627444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0945 (Oregon) | Primary |
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