Jordan K Smith

NPI #1477037851 in Gresham, Oregon

Provider Information

NPI Number: 1477037851
Entity Type: Individual
Name: Jordan K Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 20, 2018
Last Updated: Sep 20, 2018

Practice Location

Address: 912 NE KELLY AVE STE 100
City: Gresham
State: Oregon
ZIP Code: 97030-5631
Phone: (503) 912-5502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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