WILMA J SMITH (NPI# 1679626592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679626592 |
| Entity Type | Individual |
| Full Name | WILMA J SMITH |
| Credential | PNP |
| Practice Address |
426 Sw Stark St 8th Floor Portland OR 97204-2347 |
| Mailing Address |
421 Sw Oak St 210 Portland OR 97204-1817 |
| Practice Telephone | 5039883674 |
| Practice Fax Number | 5039886840 |
| Mailing Telephone | 5039883674 |
| Mailing Fax Number | 5039884098 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
000033738N2 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457996407 | Wilma Smith | Nurse Practitioner | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-11-14 |
| 1720274806 | Wilma Jean Smith | Registered Nurse | 3009 Wilson St, Reynolds Army Community Hospital, Fort Sill, OK 73503-9042 | 2007-09-21 |
| Street Address |
426 SW STARK ST 8TH FLOOR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730158890 | Debby Parrish | Pharmacist | 426 Sw Stark St, 4th Floor, Portland, OR 97204-2347 | 2006-03-14 |
| 1619323102 | Ebony Klinger | Dental Hygienist | 426 Sw Stark St, 9th Floor, Portland, OR 97204-2303 | 2016-05-13 |
| 1255720181 | Aviel Forster | Social Worker | 426 Sw Stark St, 5th Floor, Portland, OR 97204-2303 | 2015-01-15 |
| 1518233766 | Thomas Lucien Jeanne | Preventive Medicine | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2303 | 2012-03-31 |
| 1174813083 | Julie Lueker | Registered Nurse | 426 Sw Stark St, Ste. 210, Portland, OR 97204-2347 | 2011-04-12 |
| 1326338674 | Kathrine Segnitz | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-07 |
| 1073802559 | Teresa Blanshine | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-05 |
| 1548559107 | Mary Linn | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-05 |
| 1861781346 | Tuyet-anh Ann Tran | Registered Nurse | 426 Sw Stark St, Ste. 210, Portland, OR 97204-2347 | 2011-04-05 |
| 1124317649 | Jennifer Tujo | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197705 | Kelsey-jo Audrey Moss | Nurse Practitioner | 704b Ne 62nd Ave, Portland, OR 97213-4351 | 2019-10-30 |
| 1063054716 | Lori P Balchik | Nurse Practitioner | 277 Buddy Ganem Dr Ste A, Portland, TX 78374-3202 | 2019-10-15 |
| 1295273399 | Shaudine Woody | Nurse Practitioner | 11790 Sw Barnes Rd Ste 140, Portland, OR 97225-5938 | 2017-02-08 |
| 1003239120 | Iva Juric | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239-3011 | 2014-01-24 |
| 1811249592 | Pollee Hruby Brookings | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw7, Portland, OR 97239-3098 | 2012-10-05 |
| 1033470646 | Chelsea Doherty | Nurse Practitioner | 14480 Sw 90th Ave, Portland, OR 97224 | 2012-05-31 |
| 1265699508 | Mallory Johnson | Nurse Practitioner | 11790 Sw Barnes Rd. Blg A, Ste 140, Portland, OR 97225 | 2008-05-22 |
| 1053320804 | Karen Elizabeth Caines | Nurse Practitioner | 96 Falmouth St, Portland, ME 04104-9300 | 2006-08-07 |
| 1649209982 | Joanne M Perry | Nurse Practitioner | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2006-06-30 |
| 1497377220 | Erika Lynn Rodakowski | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-05-14 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.