MS. Tina I Smith, PSS

NPI #1053757948 in Salem, Oregon

Provider Information

NPI Number: 1053757948
Entity Type: Individual
Name: MS. Tina I Smith, PSS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: PSS
Enumeration Date: May 17, 2013
Last Updated: Dec 22, 2015

Practice Location

Address: 3211 AUTUMN CHASE WAY NE APT 104
City: Salem
State: Oregon
ZIP Code: 97305-1561
Phone: (971) 239-9675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Specialist	174400000X
Peer Specialist	175T00000X	Primary

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