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DUSTIN JARED SMITH MD NPI 1427219567


NPI Information

NPI: 1427219567
Provider Name: DUSTIN JARED SMITH, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1321 NE 99TH AVE
SUITE 100
PORTLAND, OR
ZIP 97220
Phone: (503) 215-9900
Get Directions

Dustin Jared Smith, MD is a family medicine in Portland, OR with 16 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Dustin Jared Smith, MD NPI is 1427219567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

1321 NE 99TH AVE
SUITE 100
PORTLAND, OR
ZIP 97220-437
Phone: (503) 215-9900

The NPI 1427219567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 1/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMR-0995IDAHONo
2207Q00000XFamily MedicineMD156439OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R167605MEDICARE PINOREGON
2R162850MEDICARE PINOREGON
3R162855MEDICARE PINOREGON
4R162854MEDICARE PINOREGON
5R162851MEDICARE PINOREGON
6808095300MEDICAIDIDAHO
7R163064MEDICARE PINOREGON
8500640264MEDICAIDOREGON
9R162853MEDICARE PINOREGON
10P01027050OTHEROREGONRR MEDICARE (PROVIDENCE)
11R167201MEDICARE PINOREGON
12R162852MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.