Individual
ANDREW O SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 NE 87TH AVE, VANCOUVER, WA 98664-1989
(360) 828-5396
(360) 828-5455
Mailing address
5904 NE 80TH CT, VANCOUVER, WA 98662-1706
(425) 306-1453
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00039265
WA
207L00000X
Anesthesiology Physician
MD174493
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149361
LABOR & INDUSTRIES
WA
05
—
026003
—
OR
05
—
1962513200
—
WA
05
—
8276412
—
WA
Enumeration date
08/31/2006
Last updated
06/19/2025
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