Individual
SALEEMAH WAJEEDAH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4400 NE HALSEY ST STE 102, PORTLAND, OR 97213-1545
(503) 962-1000
Mailing address
7938 AUTUMN LAUREL TRL, HOUSTON, TX 77095-4171
(619) 847-6754
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
63407
CA
363A00000X
Physician Assistant
P08222
TX
363A00000X
Physician Assistant
Primary
PA225266
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338078403
—
TX
Enumeration date
02/26/2013
Last updated
11/05/2025
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