| J.W. Smith, D.C., LLC | |
|
2041 Radcliffe Ave Klamath Falls OR 97601-3322 | |
| (541) 810-2332 | |
| (541) 205-3822 |
| Full Name | J.W. Smith, D.C., LLC |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 2041 Radcliffe Ave, Klamath Falls, Oregon |
| Authorized Official Name and Position | Jeffrey Winston Smith (OWNER) |
| Authorized Official Contact | 5418102332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.W. Smith, D.C., LLC Po Box 1910 Klamath Falls OR 97601-0109 Ph: (541) 810-2332 | J.W. Smith, D.C., LLC 2041 Radcliffe Ave Klamath Falls OR 97601-3322 Ph: (541) 810-2332 |
| NPI Number | 1932715935 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932715935 | NPI | - | NPPES |
| 1588788111 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | () | Secondary |
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