Individual
DR. MELISSA C. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
505 NE 87TH AVE STE 160, VANCOUVER, WA 98664-1965
(360) 514-1060
(360) 514-1065
Mailing address
75-184 HUALALAI RD, KAILUA KONA, HI 96740-1719
(808) 334-4400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD-6596
HI
207VX0000X
Obstetrics Physician
Primary
MD00036379
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H0071244
HMSA BILLING NUMBER
HI
05
—
057727-01
—
HI
Enumeration date
10/25/2006
Last updated
06/20/2024
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