RUSSEL DONNAN SMITH MD NPI 1962488585

NPI Information

NPI: 1962488585
Provider Name: RUSSEL DONNAN SMITH, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3567 NE TILLAMOOK ST
PORTLAND, OR
ZIP 97212
Phone: (773) 810-9072
Get Directions

Russel Donnan Smith, MD is a diagnostic radiology radiology in Portland, OR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Russel Donnan Smith, MD NPI is 1962488585. 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:

3567 NE TILLAMOOK ST
PORTLAND, OR
ZIP 97212-158
Phone: (773) 810-9072

The enumeration date for this NPI number is 12/15/2005 and was last updated on 3/23/2015.

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	2085R0202X	Radiology	Diagnostic Radiology	2005012199	MISSOURI	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	C49891	MEDICARE UPIN
2	RB6580	MEDICARE PIN
3	00861014	MEDICAID	NEW YORK

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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