Kevin Ray Smith, MD Valid NPI
Individual provider · Geriatric Psychiatry Physician · Portland, OR
- NPI
- 1366450801
- Type
- Individual (Type 1)
- Primary specialty
- Geriatric Psychiatry Physician (Psychiatry & Neurology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2084P0805X
- License number
- MD18891 (OR)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-03
- Last updated
- 2007-07-08
Practice location
3181 Sw Sam Jackson Park Rd, Up
Portland, OR 97239-3011
(503) 494-8617