EVAN SMITH (NPI# 1386038065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386038065 |
| Entity Type | Individual |
| Full Name | EVAN SMITH |
| Credential | L.M.T. |
| Practice Address |
5530 Adams Rd Talent OR 97540-7701 |
| Practice Telephone | 5418640182 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2016-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 20987 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112096 | Evan Smith | Nurse Practitioner | 109 Parkway Pl, Tullahoma, TN 37388-5341 | 2020-04-07 |
| 1558854265 | Evan R Smith | Dentist | 99 St Paul Dr, Chambersburg, PA 17201-1020 | 2018-06-08 |
| 1720376288 | Evan Keith Smith | Dentist | 135 Perrin Pl Ste 100, Charlotte, NC 28207-2356 | 2011-07-19 |
| 1275851867 | Evan Ernest Smith | Specialist | 1314 Ne 8th St, Bend, OR 97701-4469 | 2010-05-06 |
| 1811525553 | Evan Hasani-obadiah Smith | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-03-30 |
| 1891270492 | Evan Conway Smith | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2018-09-28 |
| 1588157010 | Evan Smith | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2018-06-09 |
| 1376081430 | Evan Robert Smith | Social Worker | 3031 W Ih 10, Attention : Credentialing, San Antonio, TX 78201-5159 | 2017-02-08 |
| 1588119168 | Evan Lee Smith | Psychologist | 325 East Eisenhower, Suite 300, Ann Arbor, MI 48108-5744 | 2016-08-24 |
| 1992155014 | Evan Smith | Social Worker | 199 W Dominick St, Rome, NY 13440-5858 | 2016-06-20 |
| Street Address |
5530 ADAMS RD |
| City | TALENT |
| State | OR |
| Zip Code | 97540-7701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
| 1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
| 1578059572 | Kayla Jade Kawecki | Massage Therapist | 258 A Street, Suite 21, Talent, OR 97540 | 2018-07-03 |
| 1376045120 | Mackenzie Grace Whitley | Massage Therapist | 105 Talent Ave., Talent, OR 97540 | 2018-03-07 |
| 1437596178 | Lisa Ann Robino | Counselor | 102 Christian Ave, Talent, OR 97540 | 2013-06-03 |
| 1669745972 | Jessica S Ruediger | Midwife | 211 1/2 N. First St., Talent, OR 97540 | 2012-02-16 |
| 1831493725 | Clista N. Prelle-tworek | Counselor | 523 Wagner Creek Rd, Talent, OR 97540 | 2011-01-06 |
| 1013104306 | Assisted Living Concepts Inc | Assisted Living Facility | 300 Suncrest Road, Talent, OR 97540 | 2007-10-01 |
| 1548456270 | Terise Jane Manich | Massage Therapist | 251 St Ives Dr, Talent, OR 97540 | 2007-09-17 |
| 1538376611 | Tom K. Clunie | Chiropractor | 58 Talent Avenue, Talent, OR 97540 | 2007-05-17 |
| Find all providers in zip 97540 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578059572 | Kayla Jade Kawecki | Massage Therapist | 258 A Street, Suite 21, Talent, OR 97540 | 2018-07-03 |
| 1376045120 | Mackenzie Grace Whitley | Massage Therapist | 105 Talent Ave., Talent, OR 97540 | 2018-03-07 |
| 1669910915 | Savannah Hanson | Massage Therapist | 102 New St, Talent, OR 97540-8713 | 2017-02-07 |
| 1184074320 | Brian Shoen | Massage Therapist | 102 Lapree St, Talent, OR 97540-6002 | 2016-06-19 |
| 1114274685 | Kalesh Weaver | Massage Therapist | 7676 Adams Rd, Talent, OR 97540-7839 | 2012-08-14 |
| 1659630267 | Deborah (debi) Rappaport | Massage Therapist | 88 Lapree St, Talent, OR 97540-6000 | 2012-05-16 |
| 1922311885 | Tanya Dawn Owen | Massage Therapist | 108 1/2 Fairview St., Talent, OR 97540-1437 | 2010-07-21 |
| 1548456270 | Terise Jane Manich | Massage Therapist | 251 St Ives Dr, Talent, OR 97540 | 2007-09-17 |
| 1659971604 | Justin Stamper | Massage Therapist | 314 E. Main St., Talent, OR 97540 | 2020-10-29 |
| 1477166437 | Demaris Mcnamara | Massage Therapist | 105 N 3rd St, Talent, OR 97540-9756 | 2020-08-28 |
| Find all providers in TALENT | ||||
Please comment or provide details below to improve the information on EVAN SMITH.
| 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.