# GERIATRIC PSYCHIATRY ASSOCIATES NORTHWEST, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760674071
- **Authorized official:** DR. KEVIN R SMITH M.D. (PRESIDENT)
- **Authorized official phone:** (503) 258-9714

## Contact information

- **Practice address:** 1231 NE MLK JR BLVD, \#611, PORTLAND, OR 97232-2073
- **Practice address phone:** (503) 258-9714
- **Practice address fax:** (503) 254-4840
- **Mailing address:** 1231 NE MLK JR BLVD, \#611, PORTLAND, OR 97232-2073
- **Mailing address phone:** (503) 258-9714
- **Mailing address fax:** (503) 254-4840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0805X | Geriatric Psychiatry Physician | MD11891 | OR | Yes |

## Other

- **Enumeration date:** 08/10/2007
- **Last updated:** 08/10/2007