WILLIAM BREWSTER SMITH MD NPI 1912990938

NPI Information

NPI: 1912990938
Provider Name: WILLIAM BREWSTER SMITH, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
1040 NW 22ND AVE
SUITE 420
PORTLAND, OR
ZIP 97210
Phone: (503) 229-7246
Get Directions

William Brewster Smith, MD is a neurology psychiatry neurology in Portland, OR. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. William Brewster Smith, MD NPI is 1912990938. 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:

1040 NW 22ND AVE
SUITE 420
PORTLAND, OR
ZIP 97210-057
Phone: (503) 229-7246
Fax: (503) 229-7105

The NPI 1912990938 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 8/24/2005 and was last updated on 10/27/2011.

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
1	2084N0400X	Psychiatry & Neurology	Neurology	MD09770	OREGON	Yes

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
1	C93802	MEDICARE UPIN	OREGON
2	118337	MEDICARE ID-TYPE UNSPECIFIED	OREGON
3	220186	MEDICAID	OREGON
4	1456706	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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