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1669574943
AMANDA MARIE SMITH
CLACKAMAS, OR
NPI
1669574943
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Former Name
AMANDA MARIE CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR OR PA01036)
Enumeration Date
2006-09-05
Last Update Date
2007-07-10
Business Address
-- AMANDA MARIE SMITH PA-C
9900 SE SUNNYSIDE RD SUNNYBROOK MEDICAL OFFICE
CLACKAMAS, OR 97015-9777
Phone number: 503-786-8435
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Mailing Address
-- AMANDA MARIE SMITH PA-C
5913 N COMMERCIAL AVE
PORTLAND, OR 97217-2014
Phone number: 360-461-3933
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