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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK KENNETH SMITH

Active Sole Proprietor

MARK KENNETH SMITH is a Specialist/Technologist, Surgical healthcare provider located in MCMINNVILLE, Oregon. NPI 1669296323 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Surgical · MCMINNVILLE, OR

Registration Details

NPI Number
1669296323
Provider Type
Individual
Gender
Male
NPI Issued
Nov 11, 2024 (1.7775818881048 yrs)
Last Updated
Nov 11, 2024
License
BAP-E-10246999 (OR)
Sole Proprietor
Yes

Practice Information

Address
904 NW YAMHILL ST
MCMINNVILLE, OR, 971285061
Browse OR providers · Browse ZIP 97128
Phone
9712413428
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.