Smith, Elenie L

Smith, Elenie L is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Suite 395, Portland OR 97225-6652. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Smith, Elenie L can be contacted via phone (503) 216-2602.

Contact Information

Primary practice address
9427 Sw Barnes Rd Suite 395 Portland OR 97225-6652
Phone: (503) 216-2602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 200650050NP NMNP PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 200650050NP NMNP Oregon

Profile Details

NPI number 1548285646
LBN Legal business name Smith, Elenie L
Credentials CNM, NP, NMNP PP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548285646 NPPES
Oregon MEDICAID 028177

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