Whalio Doctors

NPI 1386920767

Jennifer Jade Smith, RPA

Practitioner Radiology Practitioner Assistant Roseburg, OR

Practice location

Address
1813 W Harvard Ave STE 432, Roseburg, OR 97471-8705
Phone
(541) 673-4303

Registered specialties (2)

Radiology Practitioner Assistant Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 08OR1342 (OR)
Radiologic Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 106240 (OR)

Registry record

NPI
1386920767
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Oct 2011
Record last updated
28 Oct 2011

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.