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1780256222
STEPHANIE IRENE SMITH
PORTLAND, OR
NPI
1780256222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR A0671)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
STEPHANIE IRENE SMITH
1246 SW FALCON ST
PORTLAND, OR 97219-4341
Phone number: 503-421-8629
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Mailing Address
STEPHANIE IRENE SMITH
1644 LUCINDA AVE NE
KEIZER, OR 97303-2498
Phone number: 503-949-2818
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