MS. ELIZABETH KAY SMITH NP
NPI 1578681896
Nurse Practitioner - Family in Portland, OR

Q: What is Elizabeth Smith's NPI number?

The NPI number for Elizabeth Smith is 1578681896. It was assigned to this individual provider in the NPPES registry on March 26, 2007. The provider is also known as Ms. Elizabeth Kay Forge Np.

Q: What is Elizabeth Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Smith was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2007

9495 SW LOCUST ST, SUITE A, PORTLAND, OR 97223(503) 636-9011(503) 636-3952 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Elizabeth Kay Smith Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELIZABETH KAY SMITH NP (NPI 1578681896) is an individual family provider in Portland, Oregon, licensed in Oregon (APNP200550056) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1578681896

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. ELIZABETH KAY SMITHCredential: NP

Location Address9495 SW LOCUST ST, SUITE APortland, OR 97223-6683

Mailing Address9495 Sw Locust St, Suite APortland, OR 97223-6683 · (503) 636-9011 · Fax (503) 636-3952

Phone(503) 636-9011

Fax(503) 636-3952

Sole ProprietorNo

Enumeration DateMarch 26, 2007

Last NPPES UpdateJuly 28, 2015

✔ NPI 1578681896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · APNP200550056

9495 SW LOCUST ST, Portland, OR 97223

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Other Names 1

Former Name (1)Ms. Elizabeth Kay Forge Np

Other Identifiers 3

Medicare ID-Type Unspecified012N73601WI

Medicaid43930700WI

Medicare UPINP26851

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA PEMBERTON PA-C

Physician Assistant (Medical)

9495 SW LOCUST ST, SUITE A & E
PORTLAND, OR 97223

Washington County (503) 505-5937

JANNELLE MARIE FUKUJI PA-C

Physician Assistant (Medical)

9495 SW LOCUST ST, SUITE A
PORTLAND, OR 97223

Washington County (503) 696-9011

MR. TIMOTHY SCOTT CARRASCO PA

Physician Assistant (Surgical)

9495 SW LOCUST ST, SUITE # A
PORTLAND, OR 97223

Washington County (503) 636-9011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Smith's NPI number?

The NPI number for Elizabeth Smith is 1578681896. It was assigned to this individual provider in the NPPES registry on March 26, 2007. The provider is also known as Ms. Elizabeth Kay Forge Np.

Where is Elizabeth Smith located?

Elizabeth Smith practices at 9495 SW Locust St Suite A, Portland, OR 97223. The listed phone number is (503) 636-9011.

What is Elizabeth Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Smith was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.