Rebekah Christine Smith, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1125 Issued in OR

Practice address

1818 NE Irving St
Portland, OR 97232-2238

Phone

(503) 546-9153

Fax

(503) 239-7990

NPI assigned

May 20, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Rebekah Christine Minnix Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194933267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18430 DEER OAK AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357102",
            "telephone_number": "503-546-9153",
            "fax_number": "503-239-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NE IRVING ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322238",
            "telephone_number": "503-546-9153",
            "fax_number": "503-239-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBEKAH",
        "middle_name": "CHRISTINE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "MINNIX",
            "middle_name": "CHRISTINE",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Smith
• Rachel Smith
• Randal Lee Smith II, QMHA
• Raven Sa'Nai Smith
• Rebecca Smith, MSW, LCSW
• Rene Smith
• Robert Smith, DMD
• Robert Keith Smith, MD
• Robin Danielson Smith
• Ronald C Smith, PA-C, MMSC

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.