MARVIN C SMITH (NPI# 1730718768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730718768 |
| Entity Type | Individual |
| Full Name | MARVIN C SMITH |
| Credential | PT, DPT |
| Practice Address |
15700 Sw Greystone Ct Beaverton OR 97006-6011 |
| Mailing Address |
6100 Sw 196th Ave Beaverton OR 97078-4343 |
| Practice Telephone | 5034943151 |
| Mailing Telephone | 5035028586 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
5011 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3303 Sw Bond Ave, Portland, OR 972394501 | 5034943151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637646 | Marvin Smith | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-01-31 |
| 1538426820 | Marvin Khalid Smith | Orthopaedic Surgery | 1150 N 35th Ave Ste 130, Hollywood, FL 33021 | 2012-04-12 |
| 1013221407 | Marvin Leigh Smith | Social Worker | 101 E Maud St, Tavares, FL 32778-3249 | 2010-07-28 |
| 1508064890 | Marvin Montgomery Smith | Nuclear Medicine | 1224 Trotwood Ave, Dept of Radiology, Columbia, TN 38401-4802 | 2007-07-07 |
| 1902018823 | Marvin Eugene Smith | Counselor | 425 Nw 7th St, Oklahoma City, OK 73102 | 2007-05-04 |
| Street Address |
15700 SW GREYSTONE CT |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841286960 | Samudyatha Shivalingappa | Internal Medicine | 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 | 2005-09-23 |
| 1982185344 | Anna-lise K Krippaehne | Registered Nurse | 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 | 2018-08-23 |
| 1912441213 | Catherine Weeks | Social Worker | 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 | 2016-12-06 |
| 1588059885 | Yuka Kobayashi | Family Medicine | 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 | 2015-04-02 |
| 1649695990 | Nicole Hornberger | Counselor | 15700 Sw Greystone Ct, Beaverton, OR 97006 | 2014-02-24 |
| 1295172419 | Ryan M. Norton | Family Medicine | 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 | 2013-05-29 |
| 1407191042 | Sarah Lowry | Nurse Practitioner | 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 | 2012-12-09 |
| 1679716716 | Craig Samuel Mcdougall | Internal Medicine | 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 | 2009-04-18 |
| 1114164381 | Oregon Health & Science University | Pharmacy | 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 | 2009-01-09 |
| 1184884470 | Katharine Louise Barford | Internal Medicine | 15700 Sw Greystone Ct, Oregon Health Sciences University, Beaverton, OR 97006-6011 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073667218 | Oregon Neurosport Physical Therapy | Physical Therapist | 680 Ivy St, Junction City, OR 97448-1636 | 2007-01-23 |
| 1801425269 | Andrea Susan Serdar | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-06 |
| 1992334924 | Mackenzie Root | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-02 |
| 1396374328 | Jeffrey Schlimgen | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-02 |
| 1366921652 | Carolyn A Piatt | Physical Therapist | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2018-08-08 |
| 1578041661 | Jaime Musgrave | Physical Therapist | 9135 Sw Barnes Rd, Ste 361, Portland, OR 97225-9720 | 2018-08-01 |
| 1851841993 | Whitney Ann Gray | Physical Therapist | 3270 Liberty Rd S, Salem, OR 97302-4560 | 2016-10-13 |
| 1629420534 | Courtney Lewis | Physical Therapist | 507 Ne 47th Ave, Portland, OR 97213-2236 | 2016-07-05 |
| 1669894275 | Janell Wyatt | Physical Therapist | 1700 E 19th St, Mcmc Physical Therapy Dept./ M-power Rehab, The Dalles, OR 97058-3317 | 2014-01-16 |
| 1205267754 | Carly Lochala | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2013-12-10 |
| Find all providers with the same taxonomy | ||||
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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.