Individual
EMILY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2725 SW CEDAR HILLS BLVD STE 250, BEAVERTON, OR 97005-1469
(503) 415-4060
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO221434
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2019
Last updated
07/03/2024
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