Individual
DR. MICHAEL PATRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C
Contact information
Practice address
1002 BELLEVUE ST SE, SALEM, OR 97301-4006
(503) 814-5554
Mailing address
8919 NE 81ST ST, VANCOUVER, WA 98662-2808
(360) 718-0968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201807423NP-PP
OR
Other
Enumeration date
12/07/2016
Last updated
08/20/2019
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