Individual
DR. REBECCA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REBECCA SMITH, MD
Contact information
Practice address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753
Mailing address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD171980
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500692184
—
OR
01
—
R185537
MEDICARE PTAN
OR
Enumeration date
05/25/2012
Last updated
01/27/2016
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