JEFFERY SMITH (NPI# 1356734966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356734966 |
| Entity Type | Individual |
| Full Name | JEFFERY SMITH |
| Credential | PA-C |
| Practice Address |
400 Ne Mother Joseph Pl Vancouver WA 98664-3200 |
| Practice Telephone | 3602562000 |
| Enumeration Date | 2015-03-07 |
| Last Update Date | 2015-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
60528565 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386167401 | Jeffery Dan Smith | Pharmacist | 146 West 200 South, Kamas, UT 84036 | 2017-07-20 |
| 1497197669 | Jeffery Smith | Counselor | 4991 E Mckinley Ave Ste 112, Fresno, CA 93727-1966 | 2013-07-29 |
| 1851659908 | Jeffery Kenneth Smith | Physical Therapist | 8002 Waldorf Ct, Orlando, FL 32817-1586 | 2012-04-26 |
| 1982806923 | Jeffery Smith | Family Medicine | 2307 La Porte Ave, Suite 4, Valparaiso, IN 46383-7028 | 2007-06-01 |
| 1982730339 | Jeffery Owen Smith | Pharmacist | 3020 E Main St, Lot V-120, Mesa, AZ 85213-9488 | 2007-02-27 |
| 1215957105 | Jeffery William Smith | Dentist | 630 Woods Creek Dr, Sonora, CA 95370-4817 | 2006-07-20 |
| 1861961153 | Jeffery Michael Smith | Physician Assistant | 441 S Redwood Rd, Slc, UT 84104-3539 | 2018-11-16 |
| 1063913648 | Jeffery David Smith | Occupational Therapist | 1255 W Silverbell Rd, Lake Orion, MI 48359-1345 | 2018-02-28 |
| 1902101207 | Jeffery Dee Smith | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2011-01-18 |
| 1740497742 | Jeffery Craig Smith | Counselor | 11-21 Broadway, Gloversville, NY 12078 | 2007-05-17 |
| Street Address |
400 NE MOTHER JOSEPH PL |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161955 | Jacintha Stall Cauffield | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2005-08-15 |
| 1255967675 | Veronica Leung Mo | Social Worker | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2020-03-17 |
| 1982234530 | Aaryo Bakhtiar | Nurse Anesthetist, Certified Registered | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2020-01-23 |
| 1881233120 | Knoll Kristoffer Aguilar | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2020-01-03 |
| 1356988042 | Trevor Swedeen | Nurse Anesthetist, Certified Registered | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-12-02 |
| 1801458906 | John Alin Bucur | Registered Nurse | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-06-28 |
| 1619430196 | Catherine Winter | Student in an Organized Health Care Education/Training Program | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-04-10 |
| 1750846903 | Stephanie Ann Potter | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-02-01 |
| 1548734205 | Peacehealth Southwest Medical Center | Rehabilitation Unit | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2019-01-16 |
| 1386146173 | Erin Eleanor Mills | Nurse Anesthetist, Certified Registered | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2018-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1194128116 | Kimberlee Tess | Physician Assistant | 13003 Ne 46th St, Vancouver, WA 98682-6465 | 2014-10-04 |
| 1689977852 | Maliheh Razavi | Physician Assistant | 14508 Nw 20th Ave Ste 102, Vancouver, WA 98685 | 2010-12-10 |
| 1093936122 | Dan Lee Osborne | Physician Assistant | 4421 Ne St. Johns Blvd, Suite F, Vancouver, WA 98661-2573 | 2007-05-02 |
| 1629158464 | Joseph No Middle Name Marzucco | Physician Assistant | 406 Se 131st Ave Ste 101, Vancouver, WA 98683-4031 | 2006-10-16 |
| 1124571971 | Rebecca Rowney | Physician Assistant | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2016-07-28 |
| 1750751285 | Rolando Mendez | Physician Assistant | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 | 2015-09-26 |
| 1447640347 | Vancouver Chiropractic Group | Physician Assistant | 16821 Se Mcgillivray Blvd, Suite 204, Vancouver, WA 98683-0499 | 2015-01-29 |
| 1689077059 | Aaron Fordice | Physician Assistant | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2014-09-30 |
| 1982033171 | Bryan Thomas Rhoads | Physician Assistant | 9430 Ne Vancouver Mall Dr, Vancouver, WA 98662-6172 | 2013-11-07 |
| Find all providers in VANCOUVER | ||||
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| 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.