DUSTIN JARED SMITH

PORTLAND, OR
NPI1427219567
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD156439)
Additional Taxonomies207Q00000X Family Medicine
(Licence: ID  MR-0995)
Enumeration Date2008-06-20
Last Update Date2013-01-24
Business Address
-- DUSTIN JARED SMITH MD
1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220-9437
Phone number: 503-215-9900
Mailing Address
-- DUSTIN JARED SMITH MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494