Smith, Roger Garrett

Smith, Roger Garrett is an individual health care provider with primary practice located at 256 Se 2Nd Ave , Hillsboro OR 97123. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Smith, Roger Garrett can be contacted via phone (503) 648-7126.

Contact Information

Primary practice address
256 Se 2Nd Ave Hillsboro OR 97123
Phone: (503) 648-7126
Fax: (503) 648-9179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 06954 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 06954 Oregon

Profile Details

NPI number 1538148952
LBN Legal business name Smith, Roger Garrett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538148952 NPPES
Oregon MEDICAID 174060

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