Individual
ELIZABETH R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5685 INLAND SHORES WAY N, KEIZER, OR 97303
(503) 779-2271
Mailing address
5685 INLAND SHORES WAY N, KEIZER, OR 97303-3794
(503) 779-2271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28203
NE
207Q00000X
Family Medicine Physician
Primary
MD190294
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500764615
—
OR
Enumeration date
06/11/2013
Last updated
09/18/2019
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