Provider Demographics
NPI:1801183421
Name:SMITH, JAYME LYNN (MA)
Entity Type:Individual
Prefix:MRS
First Name:JAYME
Middle Name:LYNN
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5911 LARSON ST
Mailing Address - Street 2:
Mailing Address - City:CASHMERE
Mailing Address - State:WA
Mailing Address - Zip Code:98815-9536
Mailing Address - Country:US
Mailing Address - Phone:509-670-5560
Mailing Address - Fax:
Practice Address - Street 1:101 COTTAGE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:CASHMERE
Practice Address - State:WA
Practice Address - Zip Code:98815-1078
Practice Address - Country:US
Practice Address - Phone:509-670-5560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-03
Last Update Date:2011-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60208765174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist