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

Dr. Mark Douglas Smith, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700042090

Dr. Mark Douglas Smith, MD is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1040 NW 22nd Ave Ste 500
Portland, OR 97210-3057
Phone: (503) 227-5050
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1700042090
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 6, 2008
Last updated in NPPESAugust 6, 2008

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