Individual provider · Type 1 NPI

Susan Irene Smith, RN, FNP

Family Nurse Practitioner · Portland, OR

NPI number 1003127515 Active

Practice location

5100 SW Macadam Ave, Suite 200
Portland, OR 97239-6102

Fax (971) 202-5555

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X200250149NP FNP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1003127515

Susan Irene Smith, RN, FNP's National Provider Identifier is 1003127515, issued on Jun 30, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Jan 23, 2013.