Individual
DR. GREGORY N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 813-2000
(503) 626-4149
Mailing address
4411 SW VERMONT ST, PORTLAND, OR 97219-1020
(503) 494-9992
(503) 494-1967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD169520
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011180781
—
PA
Enumeration date
02/23/2006
Last updated
08/18/2015
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