Individual
MS. AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
501 N GRAHAM, STE 580, PORTLAND, OR 97227-2003
(503) 528-0704
(503) 528-0708
Mailing address
501 N GRAHAM, STE 580, PORTLAND, OR 97227-2003
(503) 528-0704
(503) 528-0708
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00947
OR
Other
Enumeration date
03/24/2006
Last updated
03/07/2023
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