KELLY SMITH

PORTLAND, OR
NPI1447877899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H5548)
Enumeration Date2020-07-01
Last Update Date2020-07-01
Business Address
KELLY SMITH RDH
7700 SW GARDEN HOME RD APT 24
PORTLAND, OR 97223-7496
Phone number: 503-954-5321
Mailing Address
KELLY SMITH RDH
2020 SE 182ND AVE
PORTLAND, OR 97233-5692
Phone number: 503-954-5321