NPI 1104832666

James Dettmer Smith, MD

Practitioner Otolaryngology Physician Portland, OR

Practice location

Address: 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011
Phone: (503) 494-5674
Mailing address: 16124 NW Saint Andrews Dr, Portland, OR 97229-7818

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence MD07228 (OR)

Other Otolaryngology providers in Oregon →

Registry record

NPI: 1104832666
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2006
Record last updated: 23 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.