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

Jacob Douglas Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083474159

Jacob Douglas Smith is a Student in an Organized Health Care Education/Training Program in Spokane, Washington. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

101 W 8th Ave
Spokane, WA 99204-2307
Phone: (406) 459-3416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083474159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address3815 Hiawatha Ave Unit 335, Minneapolis, MN 55406-4497

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