Smith, Walter Devin

Smith, Walter Devin is an sole proprietor health care provider with primary practice located at 1744 E Mcandrews Rd Suite B, Medford OR 97504. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Smith, Walter Devin can be contacted via phone (541) 776-0821.

Contact Information

Primary practice address
1744 E Mcandrews Rd Suite B Medford OR 97504
Phone: (541) 776-0821
Fax: (541) 776-5011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 099000666RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200750133NP Oregon

Profile Details

NPI number 1679790695
LBN Legal business name Smith, Walter Devin
Credentials P.M.H.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Feb 16th, 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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