Provider Demographics
NPI:1740555655
Name:SMELSER, DUANE L (HAS)
Entity type:Individual
Prefix:
First Name:DUANE
Middle Name:L
Last Name:SMELSER
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4921 SW 76TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-1805
Mailing Address - Country:US
Mailing Address - Phone:503-292-2995
Mailing Address - Fax:503-208-8059
Practice Address - Street 1:4921 SW 76TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-1805
Practice Address - Country:US
Practice Address - Phone:503-292-2995
Practice Address - Fax:503-208-8059
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS-P-873107237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist