Individual
MR. NATHAN M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
3407 S CORBETT AVE, PORTLAND, OR 97239-4621
(503) 962-0493
(971) 351-7001
Mailing address
3407 S CORBETT AVE, PORTLAND, OR 97239-4621
(503) 962-0493
(971) 351-7001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201050105NP
OR
Other
Enumeration date
06/30/2010
Last updated
03/14/2025
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