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NPI Code Detail

MEDICARE: ANTHONY BELLSMITH

MEDICARE: ANTHONY BELLSMITH
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
1207Q00000XFamily Medicine PhysicianMD194011OR

General Provider Information

NPI Number : 1427404243
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY BELLSMITH
Provider Business Mailing Address
First Line : 3530 SE 88TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97266-2396
Country : US
Telephone Number : 503-772-4335
Fax Number :
Provider Business Practice Location Address
First Line : 8935 SE POWELL BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97266-1938
Country : US
Telephone Number : 503-772-4335
Fax Number : 509-772-4337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2016
Last Update Date : 12/17/2025

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Directions to “ ANTHONY BELLSMITH ” Practice Location

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