Michelle Smith, PSYD is a
Psychologist - Clinical Child & Adolescent based in Forest Grove, Oregon. Michelle Smith is licensed to practice in Oregon (license number 3574) and her current practice location is
1728 Main St, Forest Grove, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 357-6171.
NPI number for Michelle Smith is 1073961983 and her current mailing address is 1728 Main St, Forest Grove, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073961983.
Healthcare Provider's Profile
Full Name | Michelle Smith |
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Gender | Female |
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Speciality | Psychologist - Clinical Child & Adolescent |
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Location | 1728 Main St, Forest Grove, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073961983
- Provider Enumeration Date: 06/01/2016
- Last Update Date: 10/17/2023
Medical Identifiers
Medical identifiers for Michelle Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073961983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 3574 (Oregon) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 3574 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michelle Smith, PSYD 1728 Main St, Forest Grove, OR 97116-2737 Ph: (503) 357-6171 | Michelle Smith, PSYD 1728 Main St, Forest Grove, OR 97116-2737 Ph: (503) 357-6171 |
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