Individual
KATHRYN A. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
847 NE 19TH AVE STE 100, PORTLAND, OR 97232
(503) 238-0796
Mailing address
847 NE 19TH AVE, PORTLAND, OR 97232-2684
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200550084NP
OR
Other
Enumeration date
11/09/2006
Last updated
12/11/2018
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