Individual
ALEXANDRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8182
(503) 494-0028
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE SJH-2, PORTLAND, OR 97239
(503) 494-7246
(503) 494-8368
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
202103341RN
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
10044939
OR
Other
Enumeration date
06/06/2024
Last updated
09/02/2025
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