Ethan Stuart Smith

NPI #1114600988 in Klamath Falls, Oregon

Provider Information

NPI Number
1114600988
Entity Type
Individual
Name
Ethan Stuart Smith
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Aug 9, 2023
Last Updated
Aug 9, 2023

Practice Location

Address
2210 N ELDORADO AVE
State
Oregon
ZIP Code
97601-6418
Phone
(541) 883-1030

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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