Smith, Gregory N

Smith, Gregory N is an individual health care provider with primary practice located at 4855 Sw Western Ave , Beaverton OR 97005-3460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Gregory N can be contacted via phone (503) 813-2000.

Contact Information

Primary practice address
4855 Sw Western Ave Beaverton OR 97005-3460
Phone: (503) 813-2000
Fax: (503) 626-4149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD169520 Oregon

Profile Details

NPI number 1356317150
LBN Legal business name Smith, Gregory N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Aug 18th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356317150 NPPES
Pennsylvania MEDICAID 011180781

Popular Providers