NATHAN BRADSHAW SMITH

PORTLAND, OR
NPI1417758657
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-24
Last Update Date2025-03-24
Business Address
NATHAN BRADSHAW SMITH
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-7711
Mailing Address
NATHAN BRADSHAW SMITH
15429 PLANTATION OAKS DR APT 16
TAMPA, FL 33647-2128
Phone number: 714-673-2828