Individual
SMITHA KRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1830 BICKFORD AVE STE 211, SNOHOMISH, WA 98290-1751
(360) 568-1502
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A154717
CA
207R00000X
Internal Medicine Physician
Primary
MD61261550
WA
390200000X
Student in an Organized Health Care Education/Training Program
MT208083
PA
Other
Enumeration date
06/17/2015
Last updated
03/10/2022
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