Organization
GERIATRIC PSYCHIATRY ASSOCIATES NORTHWEST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN R SMITH M.D. (PRESIDENT)
(503) 258-9714
Entity
Organization
Contact information
Practice address
1231 NE MLK JR BLVD, #611, PORTLAND, OR 97232-2073
(503) 258-9714
(503) 254-4840
Mailing address
1231 NE MLK JR BLVD, #611, PORTLAND, OR 97232-2073
(503) 258-9714
(503) 254-4840
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
MD11891
OR
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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