Individual
JEFFERY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 256-2000
Mailing address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
147963
MT
363AM0700X
Medical Physician Assistant
Primary
60528565
WA
Other
Enumeration date
03/07/2015
Last updated
04/01/2025
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