Individual
MR. RICHARD LEWIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
2901 SQUALICUM PKWY, BELLINGHAM, WA 98225-1851
(360) 734-5400
(360) 738-6377
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA10004527
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186584
LIWA
WA
01
—
7938SM
BSWA
WA
05
—
8399248
—
WA
Enumeration date
06/29/2006
Last updated
02/20/2008
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