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
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1744 E MCANDREWS RD
    SUITE B
    MEDFORD, OR
    ZIP 97504
  • Phone: (541) 776-0821

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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