Individual provider · Type 1 NPI

Nicole Smith, LPN

Licensed Practical Nurse · Portland, OR

NPI number 1689023368 Active

Practice location

6601 NE 78th Ct Ste A3
Portland, OR 97218-2823

Call (503) 252-3949 Map

Fax (503) 252-4027

Mailing address

305 Pacific Ave S Ste C
Kelso, WA 98626-1638

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201130652LPN (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1689023368

Nicole Smith, LPN's National Provider Identifier is 1689023368, issued on Jun 3, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Portland, OR. The record was last updated on Jan 29, 2019.