Individual
JORDAN DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18010 SW MCEWAN RD, LAKE OSWEGO, OR 97035
(503) 525-7500
Mailing address
PO BOX 6689, PORTLAND, OR 97228-6689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A105728
CA
207R00000X
Internal Medicine Physician
M-15536
ID
207R00000X
Internal Medicine Physician
Primary
MD166846
OR
Other
Enumeration date
06/26/2007
Last updated
08/21/2025
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