ETHAN STUART SMITH

KLAMATH FALLS, OR
NPI1114600988
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-08-09
Last Update Date2023-08-09
Business Address
ETHAN STUART SMITH
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
Mailing Address
ETHAN STUART SMITH
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030