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

Gregory S Smithers

Individual provider Physician Assistant · NPI 1639847403

Gregory S Smithers is a Physician Assistant in Portland, Oregon. Qualified in 2023, 3 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2730 S Moody Ave
Portland, OR 97201-5042
Phone: (503) 494-3633
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA217817 (OR)

Record details

NPI number1639847403
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 5, 2021
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address2730 S Moody Ave, Portland, OR 97201-5042

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Portland