Individual
LEILA CARRE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3036 NE MLK JR BLVD, PORTLAND, OR 97212-3053
(503) 283-3763
(503) 735-0912
Mailing address
847 NE 19TH AVE STE 100, PORTLAND, OR 97232-2684
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201506622NP-PP
OR
367A00000X
Advanced Practice Midwife
201506622NP-PP
OR
Other
Enumeration date
09/08/2015
Last updated
07/03/2024
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