Joseph R Smith, MD | |
9290 Se Sunnybrook Blvd Ste 220, Clackamas, OR 97015 | |
(503) 215-2890 | |
Not Available |
Full Name | Joseph R Smith |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 9290 Se Sunnybrook Blvd Ste 220, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003983818 | NPI | - | NPPES |
500648442 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | MD00026122 (Washington) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | MD157761 (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
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Joseph R Smith, MD Po Box 3158, Portland, OR 97208-3158 Ph: () - | Joseph R Smith, MD 9290 Se Sunnybrook Blvd Ste 220, Clackamas, OR 97015 Ph: (503) 215-2890 |
Gina Man-mui Sheedy, M.D., M.P.H. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 9290 Se Sunnybrook Blvd Ste 220, Clackamas, OR 97015 Phone: 503-215-2890 | |
Jeffrey S Pierson, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435 |