Individual
JENNIFER ANNE NELSON SMITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD27839
OR
208M00000X
Hospitalist Physician
A77762
CA
208M00000X
Hospitalist Physician
MD27839
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A777620
—
CA
Enumeration date
11/15/2006
Last updated
11/06/2020
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