Smith, Joseph R.

Smith, Joseph R. is an individual health care provider with primary practice located at 9290 Se Sunnybrook Blvd Ste 220 , Clackamas OR 97015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Smith, Joseph R. can be contacted via phone (503) 215-2890.

Contact Information

Primary practice address
9290 Se Sunnybrook Blvd Ste 220 Clackamas OR 97015
Phone: (503) 215-2890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD00026122 Washington
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD157761 Oregon

Profile Details

NPI number 1003983818
LBN Legal business name Smith, Joseph R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jan 28th, 2021 - about 5 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 1003983818 NPPES
Oregon MEDICAID 500648442

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