Individual
DR. BRENDA PEARL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., F.A.C.E.P.
Contact information
Practice address
400 9TH ST, FLORENCE, OR 97439-7398
(541) 997-8412
(541) 902-1695
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00049058
WA
207P00000X
Emergency Medicine Physician
Primary
MD22482
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286469
—
OR
05
—
8257354
—
WA
Enumeration date
10/19/2006
Last updated
10/09/2025
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