RUSSELL M SMITH MD NPI 1669440772

NPI Information

  • NPI: 1669440772
  • Provider Name: RUSSELL M SMITH, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 211 SKYLINE DRIVE
    WHITE SALMON, WA
    ZIP 98672
  • Phone: (509) 493-1101

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NPI Details

Russell M Smith, MD is an emergency medicine in White Salmon, WA with 42 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Russell M Smith, MD NPI is 1669440772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

211 SKYLINE DRIVE
WHITE SALMON, WA
ZIP 98672
Phone: (509) 493-1101

The NPI 1669440772 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 3/14/2006 and was last updated on 3/9/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineMD14453OREGONNo
2207P00000XEmergency MedicineMD00029546WASHINGTONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18117327MEDICAIDWASHINGTON
2930024649MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONRAILROAD MEDICARE #
3XPY196668MEDICAIDCALIFORNIA
4000684217MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONMEDICARE PART B #
5105593MEDICAIDOREGON
6C93807MEDICARE UPINWASHINGTON
72081666MEDICAIDNEVADA

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: 11/21/2025

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