Active NPI
Dr. Amber Renea O'Neill Smith, PHD
- Doula
- Gladstone, OR
National Provider Identifier
1295585917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- THW000111083
- Practice address
- 465 E Clarendon St
Gladstone, OR 97027-2433 - Phone
- (503) 406-7865
- NPI assigned
- Mar 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OR | ||
| Doula | 374J00000X | THW000111083 | OR | Primary |
Addresses
Primary practice location
465 E Clarendon St
Gladstone, OR 97027-2433
Mailing address
PO Box 933
Gladstone, OR 97027-0933
Phone (503) 406-7865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THW000111083 | OR | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1295585917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933",
"city": "GLADSTONE",
"state": "OR",
"postal_code": "970270933",
"telephone_number": "503-406-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 E CLARENDON ST",
"city": "GLADSTONE",
"state": "OR",
"postal_code": "970272433",
"telephone_number": "503-406-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL SMITH",
"first_name": "DR. AMBER",
"middle_name": "RENEA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "OR",
"license": "THW000111083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gladstone, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.