Smith, Jody A

Smith, Jody A is an individual health care provider with primary practice located at 182 Sw Academy St Ste 304 , Dallas OR 97338-1900. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Smith, Jody A can be contacted via phone (503) 623-1886.

Contact Information

Primary practice address
182 Sw Academy St Ste 304 Dallas OR 97338-1900
Phone: (503) 623-1886
Fax: (503) 623-7560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1053430298
LBN Legal business name Smith, Jody A
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
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.

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