Smith, Roberta
Smith, Roberta is an individual health care provider with primary practice located at 2700 Stewart Parkway Annex B, Roseburg OR 97471. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Smith, Roberta can be contacted via phone (541) 440-3532.Contact Information
Primary practice address
2700 Stewart Parkway Annex B
Roseburg OR 97471
Phone: (541) 440-3532
Fax: (541) 440-3554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 200040188RN | Oregon |
Profile Details
| NPI number | 1912159781 |
|---|---|
| LBN Legal business name | Smith, Roberta |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2008 |
| Last updated | Oct 22nd, 2015 - about 10 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 | 1912159781 | NPPES |
| Oregon | MEDICAID | 500665845 |
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