IndividualActive
Susan Smith, RN, FNP
NPI 1003127515 · Family Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1003127515
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 200250149NP FNP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5100 Sw Macadam Ave
Suite 200
Portland, OR 97239-6102
Phone: (971) 202-5500
Fax: (971) 202-5555
Approximate (ZIP-level) locationGet directions
Mailing address
5100 Sw Macadam Ave
Portland, OR 97239-6102
Registry dates
- Enumerated
- 2010-06-30
- Last updated
- 2013-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.