Smith, Douglas

Smith, Douglas is an individual health care provider with primary practice located at 1 Serenity Lane , Coburg OR 97408. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smith, Douglas can be contacted via phone (541) 284-5682.

Contact Information

Primary practice address
1 Serenity Lane Coburg OR 97408
Phone: (541) 284-5682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15-02-22 Oregon

Profile Details

NPI number 1740736958
LBN Legal business name Smith, Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2016
Last updated Aug 28th, 2016 - about 10 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.

Request for update

Popular Providers