Smith, Tina I
Smith, Tina I is an sole proprietor health care provider with primary practice located at 3211 Autumn Chase Way Ne Apt 104 , Salem OR 97305-1561. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Specialist, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Smith, Tina I can be contacted via phone (971) 239-9675.Contact Information
Primary practice address
3211 Autumn Chase Way Ne Apt 104
Salem OR 97305-1561
Phone: (971) 239-9675
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Oregon | |
| Other Service Providers / Specialist | 174400000X | ||
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1053757948 |
|---|---|
| LBN Legal business name | Smith, Tina I |
| Credentials | PSS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2013 |
| Last updated | Dec 22nd, 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 | 1053757948 | NPPES |
| Oregon | MEDICAID | O5329 |
Popular Providers
-
Salas, Tommie Mae
275 37Th Ave Se , Salem OR 97317-5304 -
Laporte, Greg
1599 State St , Salem OR 97301-4255 -
Mcdermott, Theresa
2020 Nomad Ct Se , Salem OR 97306-9540 -
Ernsdorff, Suzanne
2995 Ryan Dr Se Ste 200 , Salem OR 97301-5157 -
Goans, Melissa Elaine
3567 Silverpark Pl Ne , Salem OR 97305-2074 -
Eichhorn, Rebecca
1599 State St , Salem OR 97301-4255 -
Harley, Will
2045 Silverton Rd Ne , Salem OR 97301-0100 -
Bower, Kristene
1599 State St , Salem OR 97301-4255