Smith, John Washburn
Smith, John Washburn is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 256, Portland OR 97213-2982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Smith, John Washburn can be contacted via phone (503) 239-7767.Contact Information
Primary practice address
5050 Ne Hoyt St Ste 256
Portland OR 97213-2982
Phone: (503) 239-7767
Fax: (503) 215-6897
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD20151 | Oregon |
Profile Details
NPI number | 1427051077 |
---|---|
LBN Legal business name | Smith, John Washburn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2005 |
Last updated | Mar 14th, 2012 - about 12 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 | 1427051077 | NPPES |
Washington | MEDICAID | 1010081 | |
Washington | MEDICAID | 82339 |
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