Smith, Rebecca Nicole

Smith, Rebecca Nicole is an individual health care provider with primary practice located at 445 E Main St , Hillsboro OR 97123-4084. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Smith, Rebecca Nicole can be contacted via phone (503) 640-2757.

Contact Information

Primary practice address
445 E Main St Hillsboro OR 97123-4084
Phone: (503) 640-2757
Fax: (503) 640-9753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD171980 Oregon

Profile Details

NPI number 1902166705
LBN Legal business name Smith, Rebecca Nicole
Credentials REBECCA SMITH, MD
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2012
Last updated Jan 27th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902166705 NPPES
Oregon Other R185537 MEDICARE PTAN
Oregon MEDICAID 500692184 MEDICARE PTAN

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