Smith, Kathleen M

Smith, Kathleen M is an individual health care provider with primary practice located at 10690 Ne Cornell Rd Ste 220 , Hillsboro OR 97124-9224. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Smith, Kathleen M can be contacted via phone (503) 848-5861.

Contact Information

Primary practice address
10690 Ne Cornell Rd Ste 220 Hillsboro OR 97124-9224
Phone: (503) 848-5861
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X G55045 California
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD26976 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD26976 Oregon

Profile Details

NPI number 1699796201
LBN Legal business name Smith, Kathleen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Sep 23rd, 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 1699796201 NPPES
Oregon MEDICAID 298528
Oregon MEDICAID 8129355

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