Individual
PARRISH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7660
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-08485
NC
363A00000X
Physician Assistant
055.0031167
VT
363AM0700X
Medical Physician Assistant
Primary
PA192419
OR
363AM0700X
Medical Physician Assistant
TL1722
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1288PA
—
SC
Enumeration date
10/04/2011
Last updated
07/14/2023
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