Jacob Kelly Smith, MD is a student in an organized health care education training program in Portland, OR. The provider is 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. Jacob Kelly Smith, MD NPI is 1508457300. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
9205 SW BARNES RD
PORTLAND, OR
ZIP 97225-603
Phone: (503) 216-2621
The NPI 1508457300 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/3/2021 and was last updated on 6/18/2023.