Individual provider · Type 1 NPI
Anthony Nelson Smith, P.A.
Surgical Physician Assistant · Silverton, OR
NPI number
1083664981
Active
Practice location
450 Welch Street
Silverton, OR 97381
Fax (503) 873-2470
Mailing address
PO Box 278
Woodburn, OR 97071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA10005000 (WA) |
| Surgical Physician Assistant Primary | 363AS0400X | PA176235 (OR) |
Surgical Physician Assistant: Definition to come...
About NPI 1083664981
Anthony Nelson Smith, P.A.'s National Provider Identifier is 1083664981, issued on May 11, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Silverton, OR. The record was last updated on Aug 12, 2016.