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Individual

NATHAN BRYAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
917 11TH ST, HOOD RIVER, OR 97031-1578
(541) 386-2517
(541) 386-1919
Mailing address
917 11TH ST, HOOD RIVER, OR 97031-1578
(541) 386-2517
(541) 386-1919

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01365
OR
363A00000X
Physician Assistant
PA10004600
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0208529
LDI
WA
05
8379174
WA
01
8941241
LDI
Enumeration date
01/06/2006
Last updated
02/09/2026
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