MINDY SMITH


Address: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
Phone: 5034943273

MINDY SMITH (NPI# 1982154043) 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) 1982154043
Entity Type Individual
Full Name MINDY SMITH
Practice Address 3181 Sw Sam Jackson Park Rd
Portland
OR 97239-3011
Practice Telephone 5034943273
Enumeration Date 2016-10-12
Last Update Date 2016-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
10167097 OR Dietary & Nutritional Service Providers

Other Providers MINDY SMITH

NPI Name Taxonomy Address Enumeration
1396902359 Mindy J Smith Occupational Therapy Assistant 74 Parkway South, Brewer, ME 04412 2008-05-19
1881236081 Mindy Smith Behavior Technician 500 Barfield Dr, Hastings, MI 49058-9018 2019-10-09
1326396532 Mindy Lee Smith Specialist 427 Margaret St, Plattsburgh, NY 12901-4751 2012-08-20
1316206337 Mindy W. Smith Internal Medicine 111 Highway 70 E, Dickson, TN 37055-2080 2012-05-10
1164555199 Mindy Ann Smith Specialist/Technologist 2241 Rombach Ave, Wilmington, OH 45177-1995 2007-03-13

Office Location

Street Address 3181 SW SAM JACKSON PARK RD
City PORTLAND
State OR
Zip Code 97239-3011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972506301 Jerris Robert Hedges Emergency Medicine 3181 Sw Sam Jackson Park Rd, # L-102, Portland, OR 97239-3011 2005-05-31
1114528486 Nathan Stencel Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2020-11-04
1073113064 Evan Mitchell Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-28
1629678834 Vanessa Davie Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-27
1952901480 Jackie Kim Sharpe Pharmacist 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-26
1922607530 Leah Snyder Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2020-10-23
1932708740 Blake Beneville Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2020-10-22
1154920833 Isabelle Nguyen Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-22
1124627054 Musah N Iddrisu Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-21
1386242105 Wenelia Baghoomian Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2020-10-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
Find all providers in zip 97239

Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164832713 Jennifer Nickell Dietitian, Registered 9307 Sw 51st Ave, Portland, OR 97219-5118 2014-05-05
1932743127 Sarah Virginia Lowe Dietitian, Registered 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095 2019-10-31
1881244135 Mallory Soares Dietitian, Registered 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2019-09-18
1144705674 Denise Crowley Dietitian, Registered 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2018-10-01
1114414646 Andrea Lyddane Dietitian, Registered 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2018-04-19
1629597935 Paige Wollenzien Dietitian, Registered 830 Ne 47th Ave, Portland, OR 97213-2212 2017-09-18
1033651328 Betty Katherine Casto Hynes Dietitian, Registered 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2016-11-17
1841740727 Lara Teresa Kerner Dietitian, Registered 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2016-10-04
1720533516 Amanda Margolin Dietitian, Registered 9155 Sw Barnes Rd, Suite 161, Portland, OR 97225-6625 2016-08-22
1104379163 Anna Scott Dietitian, Registered 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2016-07-26
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97239

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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