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NPI Code Detail

MEDICARE: ELIZABETH SMITH ND, LAC, LMT

MEDICARE: ELIZABETH SMITH ND, LAC, LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC209012OR
2225700000XMassage Therapist26825OR
3225700000XMassage Therapist5752AL
4175F00000XNaturopath4421OR

General Provider Information

NPI Number : 1851063341
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SMITH ND, LAC, LMT
Provider Business Mailing Address
First Line : 2146 NE 4TH ST STE 160
Second Line :
City : BEND
State : OR
Zip : 97701-3618
Country : US
Telephone Number : 907-317-8437
Fax Number :
Provider Business Practice Location Address
First Line : 2146 NE 4TH ST STE 160
Second Line :
City : BEND
State : OR
Zip : 97701-3618
Country : US
Telephone Number : 541-306-4471
Fax Number : 541-566-7493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2021
Last Update Date : 05/13/2022

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Directions to “ ELIZABETH SMITH ND, LAC, LMT” Practice Location

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