Provider Demographics
NPI:1821532649
Name:DR. RICHARD SMILIE, VETERINARIAN
Entity Type:Organization
Organization Name:DR. RICHARD SMILIE, VETERINARIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VETERINARIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:SMILIE
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:503-559-1022
Mailing Address - Street 1:1622 32ND STREET NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007
Mailing Address - Country:US
Mailing Address - Phone:503-559-1022
Mailing Address - Fax:
Practice Address - Street 1:1622 32ND ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2930
Practice Address - Country:US
Practice Address - Phone:503-559-1022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0301203050174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty