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1366145997
JEFFREY VINCENT SMITH
NEWBERG, OR
NPI
1366145997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
JEFFREY VINCENT SMITH
2318 E PORTLAND RD STE 100
NEWBERG, OR 97132-1372
Phone number: 503-538-8970
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Mailing Address
JEFFREY VINCENT SMITH
337 WORKMAN DR
WOODBURN, OR 97071-4535
Phone number: 503-991-2949
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