Amanda Smith, is a
Rehabilitation Practitioner based in Medford, Oregon. Amanda Smith is licensed to practice in California (license number ) and her current practice location is
200 Beatty St, Medford, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 476-2373.
NPI number for Amanda Smith is 1962176461 and her current mailing address is 1215 Sw G St, Grants Pass, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962176461.
Healthcare Provider's Profile
| Full Name | Amanda Smith |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 200 Beatty St, Medford, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962176461
- Provider Enumeration Date: 08/06/2021
- Last Update Date: 07/05/2026
Medical Identifiers
Medical identifiers for Amanda Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962176461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (Oregon) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Primary |
| 101YM0800X | Counselor - Mental Health | PROFESSIONALLICENSE (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Amanda Smith, 1215 Sw G St, Grants Pass, OR 97526-2544 Ph: (541) 476-2373 | Amanda Smith, 200 Beatty St, Medford, OR 97501-5811 Ph: (541) 476-2373 |
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