Provider Demographics
NPI:1972930568
Name:SMITH, COURTNEY CATHERINE (DVM)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CATHERINE
Last Name:SMITH
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 SWYERS DR
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-9424
Mailing Address - Country:US
Mailing Address - Phone:541-490-4647
Mailing Address - Fax:
Practice Address - Street 1:1134 NW 18TH ST
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-2620
Practice Address - Country:US
Practice Address - Phone:541-490-4647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18867174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian