Individual
JACLYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2600 NE NEFF RD, BEND, OR 97701-6337
(541) 706-7735
(541) 706-4806
Mailing address
21215 DOVE LN, BEND, OR 97702-9526
(541) 233-3872
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201801521NP-PP
OR
Other
Enumeration date
02/28/2018
Last updated
04/16/2026
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