Jennifer Robin Smith, FNP | |
1793 13th St Se, Salem, OR 97302-2541 | |
(866) 599-3376 | |
Not Available |
Full Name | Jennifer Robin Smith |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1793 13th St Se, Salem, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497270268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 201706184NP-PP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Willapa Harbor Hospital | South bend, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Silver Falls Dermatology Llc | 5890863492 | 81 |
Silver Falls Dermatology Llc | 5890863492 | 81 |
Entity Name | Silver Falls Dermatology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134375421 PECOS PAC ID: 5890863492 Enrollment ID: O20081009000466 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Robin Smith, FNP 19682 Sw Murphy St, Aloha, OR 97078-4331 Ph: (503) 975-4931 | Jennifer Robin Smith, FNP 1793 13th St Se, Salem, OR 97302-2541 Ph: (866) 599-3376 |
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