IndividualActive
Amanda Smith, PA-C
NPI 1669574943 · Physician Assistant · Clackamas, OR
Provider details
- NPI number
- 1669574943
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- OR PA01036 (OR)
Practice location
9900 Se Sunnyside Rd
Sunnybrook Medical Office
Clackamas, OR 97015-9777
Phone: (503) 786-8435
Mailing address
5913 N Commercial Ave
Portland, OR 97217-2014
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2007-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.