CORY SMITH

PORTLAND, OR
NPI1841650587
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-23
Last Update Date2016-02-23
Business Address
-- CORY SMITH
4117 SW VERMONT ST
PORTLAND, OR 97219-1016
Phone number: 541-212-1035
Mailing Address
-- CORY SMITH
4117 SW VERMONT ST
PORTLAND, OR 97219-1016
Phone number:
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