# PROFESSIONAL MEDICAL SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770687253
- **Authorized official:** MS. KELLY A. 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 STE 500, PORTLAND, OR 97201-5537
- **Mailing address phone:** (503) 494-8417
- **Mailing address fax:** (503) 494-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 09/12/2025