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Individual

MR. ANTHONY NELSON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
450 WELCH STREET, SILVERTON, OR 97381
(503) 873-8740
(503) 873-2470
Mailing address
PO BOX 278, WOODBURN, OR 97071
(971) 983-5260
(971) 983-5326

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA10005000
WA
363AS0400X
Surgical Physician Assistant
Primary
PA176235
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8452211
WA
Enumeration date
05/11/2006
Last updated
08/12/2016
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