Provider Demographics
NPI:1346426608
Name:SMITH, DEBORAH C
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:C
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37426 INDIAN SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-6354
Mailing Address - Country:US
Mailing Address - Phone:503-313-8123
Mailing Address - Fax:
Practice Address - Street 1:37426 INDIAN SUMMER ST
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-6354
Practice Address - Country:US
Practice Address - Phone:503-313-8123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor