Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Geriatric Psychiatry Associates Northwest, PC

Organization Geriatric Psychiatry Physician · NPI 1760674071

Geriatric Psychiatry Associates Northwest, PC is a Geriatric Psychiatry Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1231 NE Mlk Jr Blvd #611
Portland, OR 97232-2073
Phone: (503) 258-9714
Fax: (503) 254-4840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X · Licence MD11891 (OR)

Record details

NPI number1760674071
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Smith — President · (503) 258-9714
NPI enumeratedAugust 10, 2007
Last updated in NPPESAugust 10, 2007
Mailing address1231 Ne Mlk Jr Blvd, 611, Portland, OR 97232-2073

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