Individual provider · Type 1 NPI

Amy C. Smith, CADC, CRM, QMHA

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1114479599 Active

Practice location

17645 NW Saint Helens Rd
Portland, OR 97231-1729

Call (503) 621-1069 Map

Fax (503) 621-0200

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X23-QMHA-R-4488 (OR)
Peer Specialist 175T00000X23-CRM-1940 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21-01-10037 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114479599

Amy C. Smith, CADC, CRM, QMHA's National Provider Identifier is 1114479599, issued on Nov 1, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Apr 28, 2026.