Most Relevant Information
Provider Data
| NPI Number: | 1003503426 |
| Provider Name: | BERNEY SMITH ZEPEDA |
| Entity Type: | Individual |
| Taxonomy Code: | 171WH0202X |
| Specialty: | Contractor |
| License Number: | 235236 |
Most Important Dates
| Enumeration Date: | 04/18/2023 |
| Last Updated: | 04/20/2023 |
Provider Practice Location
1045 TEVIOT PL NW
SALEM
OR
973043111
Practice Location Phone/Fax
| Phone: | 5037795090 |
| Fax: |
Provider Mailing Location
1045 TEVIOT PL NW
SALEM
OR
973043111
Provider Mailing Phone/Fax
| Phone: | 5037795090 |
| Fax: |