Individual provider · Type 1 NPI
Robin C. Blakeslee Smith, LMT
Specialist · Tigard, OR
NPI number
1710216353
Active
Practice location
12566 SW Main St
Tigard, OR 97223-6129
Mailing address
10440 SW Paulina Dr
Tualatin, OR 97062-8550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 10871 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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- Brenda Kay Killingsworth, LMTSpecialist Tigard, OR NPI 1114169901
- Faith DavisSpecialist Tigard, OR NPI 1174436299
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About NPI 1710216353
Robin C. Blakeslee Smith, LMT's National Provider Identifier is 1710216353, issued on Dec 10, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tigard, OR. The record was last updated on Oct 31, 2014.