Most Relevant Information
Provider Data
| NPI Number: | 1003272360 |
| Provider Name: | DIANE Y. SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 01235 |
Most Important Dates
| Enumeration Date: | 01/01/2016 |
| Last Updated: | 01/01/2016 |
Provider Practice Location
220 E HEREFORD ST
GLADSTONE
OR
970272165
Practice Location Phone/Fax
| Phone: | 5036560393 |
| Fax: |
Provider Mailing Location
220 E HEREFORD ST
GLADSTONE
OR
970272165
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |