Smith, Anthony Nelson
Smith, Anthony Nelson is an individual health care provider with primary practice located at 450 Welch Street , Silverton OR 97381. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Smith, Anthony Nelson can be contacted via phone (503) 873-8740.Contact Information
Primary practice address
450 Welch Street
Silverton OR 97381
Phone: (503) 873-8740
Fax: (503) 873-2470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA10005000 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA176235 | Oregon |
Profile Details
| NPI number | 1083664981 |
|---|---|
| LBN Legal business name | Smith, Anthony Nelson |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Aug 12th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083664981 | NPPES |
| Washington | MEDICAID | 8452211 |
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