Individual provider · Type 1 NPI

Logan Donovon Smith, BS

Student in an Organized Health Care Education/Training Program · Monroe, WA

NPI number 1235713009 Active

Practice location

101 E Main St Ste 209
Monroe, WA 98272-1519

Call (360) 485-0820 Map

Fax (949) 404-8981

Mailing address

19916 Old Owen Rd # 152
Monroe, WA 98272-9778

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235713009

Logan Donovon Smith, BS's National Provider Identifier is 1235713009, issued on May 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Monroe, WA. The record was last updated on Jun 27, 2021.