IndividualActive
Glenn Smith
NPI 1255088340 · Community Health Worker · Enterprise, OR
Provider details
- NPI number
- 1255088340
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
603 Medical Pkwy
Enterprise, OR 97828-5124
Phone: (541) 426-4502
Fax: (541) 426-6403
Approximate (ZIP-level) locationGet directions
Mailing address
603 Medical Pkwy
Enterprise, OR 97828-5124
Registry dates
- Enumerated
- 2022-03-08
- Last updated
- 2022-03-10
- Certified
- 2022-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.