Provider Demographics
NPI:1417123779
Name:SMITHERMAN, SHEILA M (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:M
Last Name:SMITHERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:SHEILA
Other - Middle Name:R
Other - Last Name:MADIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3360
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3360
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:615 LILLY RD NE STE 200
Practice Address - Street 2:PMG SW WA NEUROSURGERY
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5137
Practice Address - Country:US
Practice Address - Phone:360-486-6150
Practice Address - Fax:360-486-6155
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00049355207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery