Individual
LAURA YVONNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2705 E BURNSIDE ST, PORTLAND, OR 97214-1763
(541) 921-3584
(541) 614-1291
Mailing address
2705 E BURNSIDE ST STE 110, PORTLAND, OR 97214-1767
(503) 812-2844
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
200641802RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10043665
OR
Other
Enumeration date
04/09/2025
Last updated
08/13/2025
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