Smith, David Allen

Smith, David Allen is an individual health care provider with primary practice located at 210 Se 136Th Ave , Vancouver WA 98684-6930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Smith, David Allen can be contacted via phone (360) 944-9889.

Contact Information

Primary practice address
210 Se 136Th Ave Vancouver WA 98684-6930
Phone: (360) 944-9889
Fax: (360) 944-9686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD00031879 Washington

Profile Details

NPI number 1528061181
LBN Legal business name Smith, David Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Feb 19th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528061181 NPPES
Oregon MEDICAID 150143
Oregon MEDICAID 1012512

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