Organization
PROFESSIONAL MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY A. SMITH (VP, ENTERPRISE REVENUE CYCLE)
(503) 494-4422
Entity
Organization
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(503) 494-8417
(503) 494-4455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
09/12/2006
Last updated
09/12/2025
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