MEDICARE: MR. DANIEL EARL SMITH RN, BSN

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
1	390200000X	Student in an Organized Health Care Education/Training Program	200740828RN	OR

General Provider Information

NPI Number	:	1033411228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL EARL SMITH RN, BSN

Provider Business Mailing Address
First Line	:	2547 NE 47TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-1917
Country	:	US
Telephone Number	:	503-286-9519
Fax Number	:

Provider Business Practice Location Address
First Line	:	2547 NE 47TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-1917
Country	:	US
Telephone Number	:	503-286-9519
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2010
Last Update Date	:	02/04/2022

Similar Medicare Providers

1548270390 — DR. ALLEN WAI-HUNG TAM D.M.D.
Practice Location Address:

1939 NE 122ND AVE
PORTLAND, OR
97230-1917

Practice Phone: 503-252-3666
Practice Fax:

1508907866 — MR. NATHAN JANOFF LCSW
Practice Location Address:

1258 WESTBROOK ST
PORTLAND, ME
04102-1917

Practice Phone: 207-956-3723
Practice Fax: 207-899-1351

1760850549 — MICHAEL DAVID RAZAVI MPH, CADC I, PRC,
Practice Location Address:

2054 N VANCOUVER AVE
PORTLAND, OR
97227-1917

Practice Phone: 503-231-8164
Practice Fax:

1255848909 — ANESSA LEWIS LPC
Practice Location Address:

222 SE 30TH PL
PORTLAND, OR
97214-1917

Practice Phone: 916-832-2127
Practice Fax: 207-612-7686

1114546645 — NW INSITUTO LATINO
Practice Location Address:

2054 N VANCOUVER AVE
PORTLAND, OR
97227-1917

Practice Phone: 503-888-3464
Practice Fax:

1710742556 — DAISY JOY MONTAGUE
Practice Location Address:

9707 N CLARENDON AVE
PORTLAND, OR
97203-1917

Practice Phone: 503-878-9746
Practice Fax:

Directions to “ MR. DANIEL EARL SMITH RN, BSN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.