# PROFESSIONAL MEDICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROFESSIONAL MEDICAL SERVICES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043148810
- **Legal business name:** PROFESSIONAL MEDICAL SERVICES LLC
- **Authorized official:** KELLY ANNE SMITH (VP, ENTERPRISE REVENUE CYCLE)
- **Authorized official phone:** (503) 494-4422

## Contact information

- **Practice address:** 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
- **Practice address phone:** (503) 494-8311
- **Mailing address:** 1400 SW 5TH AVE FL 5, PORTLAND, OR 97201-5509
- **Mailing address phone:** (866) 617-6855
- **Mailing address fax:** (503) 346-8015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/12/2026
- **Last updated:** 05/12/2026