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1629131305
JASON SMITH
SPRINGFIELD, OR
NPI
1629131305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 201606339NP-PP)
Enumeration Date
2006-12-18
Last Update Date
2017-03-21
Business Address
-- JASON SMITH PMHNP
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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Mailing Address
-- JASON SMITH PMHNP
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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