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Contact Information

MEGAN SMITH, PA-C
375 PARK AVE STE 5
COOS BAY, OR97420
 Phone: 541-267-7543
 Fax: 503-362-8435
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MEGAN SMITH · (Female)

NPI Number 1093263386
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/14/2016
Last updated 04/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA190162
  • OR Medicaid 500757502
Hospital affiliation(s)
  • BAY AREA HOSPITAL - (Acute Care)
    1775 THOMPSON ROAD
    COOS BAY, OR 97420
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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