Smith, Jodi

Smith, Jodi is an individual health care provider with primary practice located at 410 N 9Th St , Cottage Grove OR 97424-1307. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Jodi can be contacted via phone (541) 942-2850.

Contact Information

Primary practice address
410 N 9Th St Cottage Grove OR 97424-1307
Fax: (541) 942-1574

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1891942033
LBN Legal business name Smith, Jodi
Credentials QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Aug 19th, 2008 - about 15 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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All States NPI 1891942033 NPPES
Oregon MEDICAID 019047

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