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ETHAN REID SMITH
NPI 1770415994
Student in an Organized Health Care Education/Training Program in Lebanon, OR

Active since June 01, 2026
200 MULLINS DR, LEBANON, OR 97355(541) 259-0235 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ethan Reid Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN REID SMITH (NPI 1770415994) is an individual student in an organized health care education/training program in Lebanon, Oregon and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1770415994
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN REID SMITH
Location Address200 MULLINS DRLebanon, OR 97355-3983
Mailing Address200 Mullins DrLebanon, OR 97355-3983 · (541) 259-0235
Phone(541) 259-0235
Sole ProprietorNo
Enumeration DateJune 1, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1770415994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

200 MULLINS DR, Lebanon, OR 97355
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN DALLAS
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (815) 353-6886
BRADLEY THOMAS MICHEL
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 248-1812
ROBYN LYNN DREIBELBIS DO
Family Medicine
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0216
WESTERN UNIVERSITY OF HEALTH SCIENCES
Family Medicine (Adult Medicine)
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
KRISTINA SOMAN-FAULKNER
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
SHANE CANRIGHT
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (503) 313-5982
KELSEY BARAN
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (651) 231-5885
BENIAMIN CORNELIU TODOR
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200

Frequently Asked Questions

What is Ethan Smith's NPI number?

The NPI number assigned to this healthcare provider is 1770415994, enumerated as an "individual" on June 01, 2026.

Where is the provider located?

The provider is located at 200 MULLINS DR LEBANON, OR 97355 and the phone number is (541) 259-0235.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.