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1225028053
JAY S SMITHERMAN
LACEY, WA
NPI
1225028053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD60003286)
Enumeration Date
2005-10-24
Last Update Date
2021-03-24
Business Address
JAY S SMITHERMAN MD
2555 MARVIN RD NE PMG SW WA HAWKS PRAIRIE IM
LACEY, WA 98516-3138
Phone number: 360-923-4600
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Mailing Address
JAY S SMITHERMAN MD
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number: 360-486-6508
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