Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669296323 Individual Practitioner Male Practitioner

Mark Kenneth Smith

Specialist/Technologist, Other • Mcminnville, OR

Professional Overview & Biography Verified Profile Summary

Mark Smith is a registered healthcare professional specializing in Specialist/Technologist, Other in Mcminnville, OR. Practice services are available at 904 NW YAMHILL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

904 Nw Yamhill St

Mcminnville, OR 971285061

Telephone 9712413428
Associated Practice Facility / Clinic
🏢 Moonlight Electrolysis Llc Facility NPI 1144167529

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Other in Mcminnville, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Mcminnville, OR (58 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-10
Specialist/Technologist, Other Primary Specialty

NUCC Taxonomy Code: 246Z00000X

State License OR BAP-E-10246999

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 11, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2024

Registered at 904 NW YAMHILL ST, MCMINNVILLE, OR 971285061 (Tel: 9712413428)

📍
Updated Business Mailing Address November 11, 2024

Registered at 904 NW YAMHILL ST, MCMINNVILLE, OR 971285061 (Tel: 9712413428)

👤
Provider Name / Credentials Updated November 11, 2024

Recorded as MARK SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2024

Specialist/Technologist, Other (License #BAP-E-10246999 in OR)

🟢
Initial NPI Registration & Enumeration November 11, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669296323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2024
Last Update: November 11, 2024
Sole Proprietor: Yes

Mailing Address

904 Nw Yamhill St

Mcminnville, OR 971285061

Phone: 9712413428

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.