Tsehay M Smith

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

528045 Issued in OR

Practice address

14012 SE Rusk Rd
Milwaukie, OR 97222-3221

Phone

(503) 830-7363

Fax

(503) 908-3601

NPI assigned

Aug 25, 2022

Last updated

Aug 26, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1376262824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14012 SE RUSK RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972223221",
            "telephone_number": "503-830-7363",
            "fax_number": "503-908-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14012 SE RUSK RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972223221",
            "telephone_number": "503-830-7363",
            "fax_number": "503-908-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TSEHAY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OR",
            "license": "528045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Smith, PHYSICAL THERAPIST
• Peggysue Smith
• Sharon Elizabeth Smith, M.D.
• Sydney Anne Smith
• Tammy Leona Smith, PHYSICAL THERAPIST A
• Yvonne Marie Smith, LCSW
• Cliff Smithers, QMHA, CPSS
• Michelle Smock, PTA
• Braydon James Snoddy
• Jerrold L Snow, DO

• Adult Care Home Facility in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Adult Care Home Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.