Individual
MR. WALTER DEVIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.M.H.N.P.
Contact information
Practice address
1744 E MCANDREWS RD, SUITE B, MEDFORD, OR 97504
(541) 776-0821
(541) 776-5011
Mailing address
1744 E MCANDREWS RD, SUITE B, MEDFORD, OR 97504
(541) 776-0821
(541) 776-5011
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
099000666RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200750133NP
OR
Other
Enumeration date
04/19/2007
Last updated
02/16/2016
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