Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn Smith

Individual provider Community Health Worker · NPI 1255088340

Glenn Smith is a Community Health Worker in Enterprise, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

603 Medical Pkwy
Enterprise, OR 97828-5124
Phone: (541) 426-4502
Fax: (541) 426-6403
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1255088340
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 8, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing address603 Medical Pkwy, Enterprise, OR 97828-5124

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