NPI 1497537898

Ian Michael Smith, CPO

Practitioner Prosthetist Longview, WA

Practice location

Address: 1516 Hudson St STE 105, Longview, WA 98632-3046
Phone: (360) 423-6049
Mailing address: 1441 NE 136th Ave APT 284, Vancouver, WA 98684-5985

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO05333

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO05333

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Registry record

NPI: 1497537898
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2023
Record last updated: 19 Oct 2023

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.