IAN MICHAEL SMITH

LONGVIEW, WA
NPI1497537898
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence:   CPO05333)
Additional Taxonomies222Z00000X 
(Licence:   CPO05333)
Enumeration Date2023-10-19
Last Update Date2023-10-19
Business Address
Mr. IAN MICHAEL SMITH CPO
1516 HUDSON ST STE 105
LONGVIEW, WA 98632-3046
Phone number: 360-423-6049
Mailing Address
Mr. IAN MICHAEL SMITH CPO
1441 NE 136TH AVE APT 284
VANCOUVER, WA 98684-5985
Phone number: 360-907-3341
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