Smith, Myron D.
Smith, Myron D. is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave Suite 460, Portland OR 97210-3057. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Smith, Myron D. can be contacted via phone (503) 413-8154.Contact Information
Primary practice address
1040 Nw 22Nd Ave Suite 460
Portland OR 97210-3057
Phone: (503) 413-8154
Fax: (503) 413-6944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 20867 | Oregon |
Profile Details
| NPI number | 1063623395 |
|---|---|
| LBN Legal business name | Smith, Myron D. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063623395 | NPPES |
| Oregon | MEDICAID | 248174 |
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