Individual
ROGER GARRETT SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
256 SE 2ND AVE, HILLSBORO, OR 97123
(503) 648-7126
(503) 648-9179
Mailing address
256 SE 2ND AVE, HILLSBORO, OR 97123
(503) 648-7126
(503) 648-9179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
06954
OR
207R00000X
Internal Medicine Physician
Primary
06954
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174060
—
OR
Enumeration date
01/13/2006
Last updated
09/11/2025
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