Individual
DR. STEPHEN MARK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS (MD EQUIVALENT)
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-2736
Mailing address
3181 SW SAM JACKSON PARK RD, UHN-67, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD25483
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287963
—
OR
05
—
8264327
—
WA
01
—
R143424
MEDICARE PROVIDER NUMBER
—
Enumeration date
09/20/2006
Last updated
05/16/2012
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