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Contact Information

JOSEPH R SMITH, MD
9290 SE SUNNYBROOK BLVD STE 220
CLACKAMAS, OR97015
 Phone: 503-215-2890
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JOSEPH R SMITH · (Male)

NPI # 1003983818
Status Active
Credentials MD
Entity Individual
Enumeration date 11/29/2006
Last updated 01/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD157761
  • WA License # MD00026122
  • OR Medicaid 500648442
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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