Evans-Smith, Mari Kay
Evans-Smith, Mari Kay is an individual health care provider with primary practice located at 2525 Nw Lovejoy St Ste 200, Portland OR 97210-2863. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Evans-Smith, Mari Kay can be contacted via phone (503) 227-0671.Contact Information
Primary practice address
2525 Nw Lovejoy St Ste 200
Portland OR 97210-2863
Phone: (503) 227-0671
Fax: (503) 227-0676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD17819 | Oregon |
Profile Details
| NPI number | 1528064896 |
|---|---|
| LBN Legal business name | Evans-Smith, Mari Kay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528064896 | NPPES |
| Oregon | MEDICAID | 045620 |
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