Kevin Ray Smith in Portland - Geriatric Psychiatry
Kevin Ray Smith - NPI 1366450801
Kevin Ray Smith is a Geriatric Psychiatry in Portland, Oregon. Kevin Ray Smith practices all healthcare services and medical treatments related to Geriatric Psychiatry. The NPI Number for Kevin Ray Smith is 1366450801. The last update date is 2007-07-08.
Kevin Ray Smith's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034948617. The mailing address for Kevin Ray Smith is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Ray Smith |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034948617 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366450801 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034948617 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Psychiatry |
|---|---|
| Taxonomy | 2084P0805X |
| Licence No | MD18891 |
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Definition: Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 151231 | OR | -- |
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What is the unique identifier code issued to Kevin Ray Smith by the Centers for Medicare & Medicaid Services?
The Kevin Ray Smith has been assigned the NPI (National Provider Identifier) 1366450801. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kevin Ray Smith located?
The Kevin Ray Smith is located at 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011.
What is the Kevin Ray Smith's specialty and taxonomy code?
The Kevin Ray Smith's specialty is Geriatric Psychiatry, and the corresponding taxonomy code is 2084P0805X.
On what date did the Kevin Ray Smith receive its 1366450801 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Ray Smith was assigned its 1366450801 by the Centers for Medicare & Medicaid Services on 2006-08-03.
As of what date were the Kevin Ray Smith's details last updated?
The information pertaining to the Kevin Ray Smith, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY