Individual provider · Type 1 NPI

Wilma J. Smith, PNP

Pediatric Nurse Practitioner · Portland, OR

NPI number 1679626592 Active

Practice location

426 SW Stark St, 8th Floor
Portland, OR 97204-2347

Call (503) 988-3674 Map

Fax (503) 988-6840

Mailing address

421 SW Oak St, 210
Portland, OR 97204-1817

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X000033738N2 (OR)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1679626592

Wilma J. Smith, PNP's National Provider Identifier is 1679626592, issued on Jan 22, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Dec 18, 2009.