Individual
ALEXIS SMITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 413-5092
(503) 413-1860
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-5092
(503) 413-1860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.415192
IL
363LF0000X
Family Nurse Practitioner
Primary
201605698NP-PP
OR
363LF0000X
Family Nurse Practitioner
209.013269
IL
363LF0000X
Family Nurse Practitioner
71005689A
IN
Other
Enumeration date
08/03/2015
Last updated
09/18/2016
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