MICAH SMITH

PORTLAND, OR
NPI1992257331
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OR  10226142)
Enumeration Date2016-11-02
Last Update Date2024-04-19
Business Address
MICAH SMITH ATC
7325 SW CHILDS RD
PORTLAND, OR 97224-7713
Phone number: 317-504-0593
Mailing Address
MICAH SMITH ATC
411 W HAWKINS PKWY APT 4301
LONGVIEW, TX 75605-1723
Phone number:
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