Dr. Mark Douglas Smith, MD - Portland, OR

Dr. Mark Douglas Smith, MD

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1700042090

Mark Douglas Smith is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Mark Douglas Smith practices in Portland, OR and has the professional credentials of MD. The NPI Number for Mark Douglas Smith is 1700042090 and holds a License No. (Oregon).

The current practice location address for Mark Douglas Smith is 1040 Nw 22Nd Ave, Portland, OR and can be reached out via phone at 503-227-5050.

Location: 1040 Nw 22Nd Ave, Portland, OR, 97210-3057

NPI Number

1700042090

Provider Name

Mark Douglas Smith

Credential

Provider Entity Type

Individual

Gender

Male

Address

1040 Nw 22Nd Ave, Portland, OR, 97210-3057

Phone Number

503-227-5050

Fax Number

Provider Enumeration Date

08/06/2008

Last Update Date

03/09/2024

Address

1040 Nw 22Nd Ave

City

Portland

State

Oregon

Zip

97210-3057

Phone Number

503-227-5050

Fax Number

Address

1040 Nw 22Nd Ave

City

Portland

State

Oregon

Zip

97210-3057

Phone Number

503-227-5050

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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