Individual
MS. ELIZABETH KAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9495 SW LOCUST ST, SUITE A, PORTLAND, OR 97223-6683
(503) 636-9011
(503) 636-3952
Mailing address
9495 SW LOCUST ST, SUITE A, PORTLAND, OR 97223-6683
(503) 636-9011
(503) 636-3952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APNP200550056
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43930700
—
WI
Enumeration date
03/26/2007
Last updated
07/28/2015
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