Individual
HEIDI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
59648 JASPER PL, BEND, OR 97702-9650
(253) 678-5791
Mailing address
59648 JASPER PL, BEND, OR 97702-9650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201906193RN
OR
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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