Provider Demographics
NPI:1356144950
Name:SMITH, BRENDON CURTIS (DC)
Entity type:Individual
Prefix:
First Name:BRENDON
Middle Name:CURTIS
Last Name:SMITH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:BRENDON
Other - Middle Name:CURTIS
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:11815 NE HIGHWAY 99
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-4008
Mailing Address - Country:US
Mailing Address - Phone:208-859-8261
Mailing Address - Fax:
Practice Address - Street 1:11815 NE HIGHWAY 99
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-4008
Practice Address - Country:US
Practice Address - Phone:208-859-8261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61655514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor