MR. SPENCER LOUIS SMITH


Address: 2730 Sw Moody Ave, Portland, OR 97201-5042
Phone: 5039369598

MR. SPENCER LOUIS SMITH (NPI# 1831738905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831738905
Entity Type Individual
Full Name MR. SPENCER LOUIS SMITH
Practice Address 2730 Sw Moody Ave
Portland
OR 97201-5042
Practice Telephone 5039369598
Enumeration Date 2020-01-06
Last Update Date 2020-01-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program 390200000X Student, Health Care

Other Providers SPENCER SMITH

NPI Name Taxonomy Address Enumeration
1679050611 Spencer Smith Internal Medicine 711 Fairgrove Church Rd Se, Conover, NC 28613-8680 2018-07-23
1942660030 Spencer Chad Smith Chiropractor 406 E Saint Louis St, Hamburg, AR 71646-2728 2016-03-02
1083678817 Spencer Reid Smith Pharmacist 613b E Lamar St, Americus, GA 31709-3737 2006-04-17
1659929826 Spencer W Smith Physical Therapy Assistant 2400 Marshall St, Wausau, WI 54403-6738 2019-08-29
1255892394 Spencer Kennedy Smith Dentist 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2019-03-29
1548768948 Spencer Smith Counselor 200 N Anderson Ln, Lindon, UT 84042-1110 2018-01-31
1114319597 Spencer Smith Orthopaedic Surgery 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 2015-02-23
1891058004 Spencer J Smith Orthotist 230 Spring Hill Dr, Suite 335, Spring, TX 77386-2388 2012-06-21
1528214673 Spencer Ward Smith Dentist 621 N 8th St W, Riverton, WY 82501-3318 2008-08-08
1639337439 Spencer Crawford Smith Emergency Medicine 50 N Medical Dr, Emergency Department, Salt Lake City, UT 84132-0001 2008-05-28

Office Location

Street Address 2730 SW MOODY AVE
City PORTLAND
State OR
Zip Code 97201-5042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942206313 Kerrie Lee Shirley Pharmacist 2730 Sw Moody Ave, Pmb 260, Portland, OR 97201 2005-06-21
1154943116 Yves Gacinya Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-13
1427670660 Claudemir Da Silva Lima Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-11
1639791726 An Ruan Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-11
1437771904 Lucia Novak Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-07
1881215358 Donald Alfred Defrang II Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-06
1992326573 Mirah-aizza Galuego Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-05
1063033819 Kelsey Moore Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-04
1164043972 Andrew Henderson Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-04
1225659006 Thomas Peckenham-hernandez Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave, Portland, OR 97201-5042 2020-05-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780206060 Laura Elizabeth Jackson Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201 2020-05-10
1225659063 Amanpreet Kaur Student in an Organized Health Care Education/Training Program Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 2020-05-04
1063033801 Aaron Kinn Student in an Organized Health Care Education/Training Program Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 2020-05-04
1487275442 Erin Aleen Ostlie-madden Student in an Organized Health Care Education/Training Program 2730 South Moody Ave, Portland, OR 97201 2020-04-30
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1740825587 Dalia Bayaa Pharmacist 325 Sw Harrison Street, Portland, OR 97201 2019-11-15
1780172619 Susan Elizabeth Christian Barrios Social Worker 1505 Sw College St, Portland, OR 97201 2018-04-26
1730696576 Fiona Everett Counselor 1703 Sw Clay St, Portland, OR 97201 2018-01-02
1437678844 Akira Thomas Neilsen Student in an Organized Health Care Education/Training Program 1930 Sw River Drive, Unit 102, Portland, OR 97201 2017-09-18
1285171736 Howard Mitchell Technician, Other 1110 Sw Clay Street Apt. 34, Portland, OR 97201 2017-01-23
Find all providers in zip 97201

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536602 Dario J Lapoma Student in an Organized Health Care Education/Training Program 1305 Se Birch St, Portland, OR 97214-5335 2020-10-18
1740888155 Charles Samuel Goldfoot Student in an Organized Health Care Education/Training Program 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 2020-10-16
1396343992 Shelby Taylor Bowerly Student in an Organized Health Care Education/Training Program 4522 Ne Ainsworth St, Portland, OR 97218-1322 2020-10-15
1821696816 Nancy Sierra Ferrer Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 2020-10-13
1437757663 David Gallacher Student in an Organized Health Care Education/Training Program 3303 S Bond Ave # 1, Portland, OR 97239-4501 2020-10-10
1366049777 Carolyn Evans Student in an Organized Health Care Education/Training Program 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 2020-10-08
1669081659 Amy Hill Student in an Organized Health Care Education/Training Program 3931 N Juneau St Apt 7, Portland, OR 97217-7419 2020-07-27
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1558986364 Haley Bosco Doyle Student in an Organized Health Care Education/Training Program 3587 Se Grant St, Portland, OR 97214-5829 2020-06-08
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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