IndividualActive
Ian Smith, CPO
NPI 1497537898 · Prosthetist · Longview, WA
Provider details
- NPI number
- 1497537898
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- Yes
- License
- CPO05333
Practice location
1516 Hudson St Ste 105
Longview, WA 98632-3046
Phone: (360) 423-6049
Mailing address
1441 Ne 136th Ave Apt 284
Vancouver, WA 98684-5985
Registry dates
- Enumerated
- 2023-10-19
- Last updated
- 2023-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.