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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356317150 | NPPES |
| Pennsylvania | MEDICAID | 011180781 |
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