Individual
DR. IAN A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2041 NE WILLIAMSON CT STE B, BEND, OR 97701-3941
(541) 706-7715
(541) 706-7742
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00042448
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD205339
OR
207RI0200X
Infectious Disease Physician
MD00042448
WA
207RP1001X
Pulmonary Disease Physician
MD00042448
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
L&I
WA
01
—
3529SM
BLUE SHIELD
WA
05
—
8411282
—
WA
01
—
P00341222
RAILROAD MEDICARE
WA
Enumeration date
08/22/2006
Last updated
05/07/2026
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