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General NPI Number Information
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NPI Number | 1043148810
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 3181 SW SAM JACKSON PARK RD
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City | PORTLAND
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State | OR
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Zip | 97239-3011
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Country | US
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Telephone | 503-494-8311
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 SW 5TH AVE FL 5
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City | PORTLAND
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State | OR
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Zip | 97201-5509
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Country | US
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Telephone | 866-617-6855
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Fax | 503-346-8015
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Authorized Official
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Title or Position | VP, ENTERPRISE REVENUE CYCLE
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Name | KELLY ANNE SMITH
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Credential |
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Telephone | 503-494-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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