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NPI 1003247743

IndividualActive

Bethany Smith

NPI 1003247743 · Contractor · Woodburn, OR

Provider details

NPI number: 1003247743
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Female
Sole proprietor: Yes
License: 20238 (OR)

Practice location

559 Glatt Cir Ste 1

Woodburn, OR 97071-9675

Phone: (503) 981-4591

Fax: (503) 982-3308

More OR providers

Mailing address

559 Glatt Cir Ste 1

Woodburn, OR 97071-9675

Registry dates

Enumerated: 2013-12-05
Last updated: 2013-12-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bethany Smith — NPI 1003247743, Woodburn, OR | NPI Central