Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003275009 Individual Practitioner Male Practitioner

William Smith

Specialist • Siletz, OR

Professional Overview & Biography Verified Profile Summary

William Smith is a registered healthcare professional specializing in Specialist in Siletz, OR. Practice services are available at 761 SW DARCY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

761 Sw Darcy Ave

Siletz, OR 973802019

Telephone 5415749570
Fax 5415748857
Associated Practice Facility / Clinic
🏢 Reconnections A And D Facility NPI 1588692040

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Siletz, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Siletz, OR (1153 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 10-09-50

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kristopher Davis , CRM

Counselor - Addiction (Substance Use Disorder)

NPI 1023901345
Timothy Rash

Counselor - Addiction (Substance Use Disorder)

NPI 1104602655
Rebecca Gray , CRM

Peer Specialist

NPI 1114791696
Bianca Deris

Specialist

NPI 1124486741
Nicole Dickerson

Peer Specialist

NPI 1184407629
NPI 1245021971

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2016

Registered at 761 SW DARCY AVE, SILETZ, OR 973802019 (Tel: 5415749570)

📍
Updated Business Mailing Address February 18, 2016

Registered at 761 SW DARCY AVE, SILETZ, OR 973802019 (Tel: 5415749570)

👤
Provider Name / Credentials Updated February 18, 2016

Recorded as WILLIAM SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2016

Specialist (License #10-09-50 in OR)

🟢
Initial NPI Registration & Enumeration February 18, 2016

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: 1003275009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2016
Last Update: February 18, 2016
Sole Proprietor: Yes

Mailing Address

761 Sw Darcy Ave

Siletz, OR 973802019

Phone: 5415749570

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.