IndividualActive
Tiffany Smith, PA
NPI 1467995530 · Physician Assistant · Medford, OR
Provider details
- NPI number
- 1467995530
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA2016-0100 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3860 Crater Lake Ave Ste a
Medford, OR 97504-9741
Phone: (541) 858-1003
Fax: (541) 857-4499
Street-level locationGet directions
Mailing address
3860 Crater Lake Ave Ste a
Medford, OR 97504-9741
Additional practice locations (1)
- 4901 Lang Ave NeSuite 100Albuquerque, NM 87109-4495Phone: (505) 994-9572Fax: (505) 883-0725
Registry dates
- Enumerated
- 2016-11-22
- Last updated
- 2019-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.