Individual
DR. JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-2200
Mailing address
2801 N GANTENBEIN AVE, 4100 LEMC LIMS, PORTLAND, OR 97227-1623
(503) 413-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO199910
OR
Other
Enumeration date
04/08/2015
Last updated
04/16/2021
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