Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colten J Smith, PA-C

Individual provider Physician Assistant · NPI 1407228620

Colten J Smith, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with Peacehealth Networks on Demand LLC, a 201-clinician group and accepts Medicare assignment. Licensed in Arizona and Oregon.

Years since qualifying
11
Licensed in
AZ, OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10123 SE Market St
Portland, OR 97216-2532
Phone: (503) 251-6155
Fax: (503) 261-6769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA197416 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 6240 (AZ)

Record details

NPI number1407228620
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2015
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Peacehealth Networks On Demand Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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