Individual
DR. MICHAEL PATRICK BOUSSON SMRTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9701 SW BARNES RD STE 299, PORTLAND, OR 97225-6689
(503) 297-3660
(503) 297-3530
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD162120
OR
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD162120
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50065729
—
OR
Enumeration date
05/13/2008
Last updated
01/30/2026
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