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NPI Code Detail

MEDICARE: CHASITY MARIE SMITH

MEDICARE: CHASITY MARIE SMITH
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
1175T00000XPeer SpecialistOR
2171M00000XCase Manager/Care CoordinatorOR

General Provider Information

NPI Number : 1518820968
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASITY MARIE SMITH
Provider Business Mailing Address
First Line : 2210 N ELDORADO AVE
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-6418
Country : US
Telephone Number : 541-883-1030
Fax Number : 541-884-2338
Provider Business Practice Location Address
First Line : 2210 N ELDORADO AVE
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-6418
Country : US
Telephone Number : 541-883-1030
Fax Number : 541-884-2338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 05/21/2026

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Directions to “ CHASITY MARIE SMITH ” Practice Location

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