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Mr. Ian Michael Smith, CPO
Prosthetist in Longview, Washington
NPI 1497537898

Ian Michael Smith is a Prosthetist based in Vancouver, WA. Ian Michael Smith practices in Longview, WA and has the professional credentials of CPO. The NPI Number for Ian Michael Smith is 1497537898 and holds a License No. CPO05333 (Washington).

The current practice location address for Ian Michael Smith is 1516 Hudson St Ste 105, Longview, WA and can be reached out via phone at 360-423-6049. You can also correspond with Ian Michael Smith through the mailing address at 1441 NE 136TH AVE APT 284, VANCOUVER, WA - 98684-5985 (mailing address contact number: 360-907-3341).

Location: 1516 Hudson St Ste 105, Longview, WA, 98684-5985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497537898
Provider Name
Ian Michael Smith
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
1516 Hudson St Ste 105, Longview, WA, 98684-5985
Phone Number
360-423-6049
Fax Number
Provider Enumeration Date
10/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1516 Hudson St Ste 105
City
Longview
State
Washington
Zip
98632-3046
Phone Number
360-423-6049
Fax Number
person
Provider Business Mailing Address Details
Address
1441 Ne 136Th Ave Apt 284
City
Vancouver
State
Washington
Zip
98684-5985
Phone Number
360-907-3341
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
CPO05333 ()
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
CPO05333 ()
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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