Individual
DR. HERBERT MATTHEW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 W 1ST AVE, KENNEWICK, WA 99336-3926
(509) 585-5500
(509) 585-4161
Mailing address
TRIOS CARE CENTER AT DEBIT, 320 W. 10TH AVENUE SUITE 202, KENNEWICK, WA 99336
(509) 221-5520
(509) 585-4161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00018280
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00358
DEPT OF HEALTH EIP ID
WA
01
—
0161428
LABOR & INDUSTRIES ID
WA
01
—
0801186563
RAILROAD MEDICARE ID
WA
01
—
1266
GROUP HEALTH COOP ID
WA
05
—
1658905
—
WA
01
—
2089786
FIRST HEALTH ID
WA
01
—
348362800
US DEPT OF LABOR
WA
01
—
4531768
AETNA PROVIDER ID
WA
01
—
836293000
REGENCE BCBS OREGON
WA
01
—
8937316
CRIME VICTIMS ID
WA
01
—
9250SM
REGENCE ASURIS ID
WA
Enumeration date
04/28/2006
Last updated
05/18/2021
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