NPI 1003275009

William Smith

Practitioner Specialist Siletz, OR

Practice location

Address: 761 SW Darcy Ave, Siletz, OR 97380-2019
Phone: (541) 574-9570
Fax: (541) 574-8857

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 10-09-50 (OR)

Other Specialist providers in Oregon →

Registry record

NPI: 1003275009
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Feb 2016
Record last updated: 18 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.