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Contact Information

MARY E SMITH, LMT
11855SW RIDGECREST DR
#209
BEAVERTON, OR97008
 Phone: 503-626-1950
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for MARY E SMITH · (Female)

NPI Number 1508105735
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 02/07/2013
Last updated 02/07/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 1490
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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