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LAURA C SMITH PA NPI 1366428203


NPI Information

NPI: 1366428203
Provider Name: LAURA C SMITH, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1813 W HARVARD AVE STE 310
ROSEBURG, OR
ZIP 97470
Phone: (541) 672-7546
Get Directions

Laura C Smith, PA is a medical physician assistant in Roseburg, OR. Laura C Smith, PA NPI is 1366428203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1813 W HARVARD AVE STE 310
ROSEBURG, OR
ZIP 97470-756
Phone: (541) 672-7546
Fax: (541) 675-8446

The NPI 1366428203 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 3/18/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA00905OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1114886MEDICARE ID-TYPE UNSPECIFIEDOREGON
2P80101MEDICARE UPINOREGON
3R145579MEDICARE PINOREGON
40245490OTHEROREGONDEPT OF LABOR AND INDUSTRIES
5151228MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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