Smith, Ian A

Smith, Ian A is an individual health care provider with primary practice located at 2500 Ne Neff Rd , Bend OR 97701-6015. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Smith, Ian A can be contacted via phone (541) 706-7715.

Contact Information

Primary practice address
2500 Ne Neff Rd Bend OR 97701-6015
Phone: (541) 706-7715
Fax: (541) 706-7742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD00042448 Washington
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD00042448 Washington
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD00042448 Washington
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD205339 Oregon

Profile Details

NPI number 1588770655
LBN Legal business name Smith, Ian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Nov 17th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588770655 NPPES
Washington Other 3529SM BLUE SHIELD
Washington Other 0039581 BLUE SHIELD
Washington MEDICAID 8411282 BLUE SHIELD
Washington Other P00341222 BLUE SHIELD

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