Individual
CHERI E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LRCP
Contact information
Practice address
2801 ST ANTHONY WAY, PENDLETON, OR 97801-3800
(616) 644-6485
(541) 278-3690
Mailing address
1711 BRYANT AVE, WALLA WALLA, WA 99362-9344
(616) 644-6485
Taxonomy
Speciality
Code
Description
License number
State
2278P3900X
Neonatal/Pediatric Certified Respiratory Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117008028
RESPIRATORY THERAPIST
VA
01
—
4401009506
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
01
—
LR61034292
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
01
—
P-10206325
OREGON HEALTH AUTHORITY/HEALTH LICENSING OFFICE
OR
Enumeration date
08/18/2019
Last updated
05/08/2025
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