Individual
SHERYL LYNN SMOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10121 SE SUNNYSIDE RD STE 300, CLACKAMAS, OR 97015-5713
(503) 908-1289
(503) 908-3439
Mailing address
10121 SE SUNNYSIDE RD STE 300, CLACKAMAS, OR 97015-5713
(503) 908-1289
(503) 908-3439
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201350047NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000187240
BLUE CROSS BLUE SHIELD
OR
Enumeration date
04/08/2013
Last updated
12/08/2020
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