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MR. WALTER DEVIN SMITH P.M.H.N.P. NPI 1679790695


NPI Information

NPI: 1679790695
Provider Name: MR. WALTER DEVIN SMITH, P.M.H.N.P.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1744 E MCANDREWS RD
SUITE B
MEDFORD, OR
ZIP 97504
Phone: (541) 776-0821
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MR. Walter Devin Smith, P.M.H.N.P. is a psychiatric/mental health nurse practitioner in Medford, OR. MR. Walter Devin Smith, P.M.H.N.P. NPI is 1679790695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1744 E MCANDREWS RD
SUITE B
MEDFORD, OR
ZIP 97504
Phone: (541) 776-0821
Fax: (541) 776-5011

The enumeration date for this NPI number is 4/19/2007 and was last updated on 2/16/2016.


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
1163WP0808XRegistered NursePsychiatric/Mental Health099000666RNOREGONNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health200750133NPOREGONYes

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: 11/14/2023

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.