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

Timothy Smith

Individual provider Physician Assistant · NPI 1720860232

Timothy Smith is a Physician Assistant in Newberg, Oregon. Qualified in 2024, 2 years ago. Practices with Salem Health, a 479-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

448 N Werth Blvd
Newberg, OR 97132-7500
Phone: (503) 554-2521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA223551 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1720860232
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2023
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address230 Ne Fircrest Dr Apt 301, McMinnville, OR 97128-9214

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Salem Health — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Newberg