IndividualActive
Amy Smith, PA
NPI 1174583264 · Surgical Physician Assistant · Portland, OR
Provider details
- NPI number
- 1174583264
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA00947 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
501 N Graham
Ste 580
Portland, OR 97227-2003
Phone: (503) 528-0704
Fax: (503) 528-0708
Approximate (ZIP-level) locationGet directions
Mailing address
501 N Graham
Portland, OR 97227-2003
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2023-03-07
- Certified
- 2021-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.