Individual
BRANDON ALAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1510 DIVISION ST STE 200, OREGON CITY, OR 97045-1599
(503) 962-1000
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA213876
OR
Other
Enumeration date
04/14/2021
Last updated
06/20/2023
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