MICHAEL FORREST SMIRA

PORTLAND, OR
NPI1972872612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-12-27
Last Update Date2011-12-27
Business Address
-- MICHAEL FORREST SMIRA
727 NE 24TH AVE
PORTLAND, OR 97232-2222
Phone number: 503-228-9229
Mailing Address
-- MICHAEL FORREST SMIRA
727 NE 24TH AVE
PORTLAND, OR 97232-2222
Phone number: 503-228-9229
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