Healthcare Provider Details

I. General information

NPI: 1538120811
Provider Name (Legal Business Name): APRIL SMITH M.A., L.P.C. CADCII
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 04/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 39TH ST STE 203
ASTORIA OR
97103-2455
US

IV. Provider business mailing address

2911 MARINE DR STE B
ASTORIA OR
97103-2836
US

V. Phone/Fax

Practice location:
  • Phone: 503-593-2432
  • Fax:
Mailing address:
  • Phone: 503-593-2432
  • Fax: 509-663-0441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number19-R-01
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC5255
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: