SearchOregon104100000X

Autumn Smith

NPI 1831888437 · on the registry since 2023

Practice

Address
3632 N Trenton St
Portland, OR 97217
Phone
(503) 841-6128
Clinicians at this address
2

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon