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

Justin Ryan Smith, MD

Individual provider Internal Medicine Physician · NPI 1780172957

Justin Ryan Smith, MD is a Nephrology in Portland, Oregon. Graduated from University of Mississippi School of Medicine in 2018, 8 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Mississippi and Oregon.

Years since qualifying
8
Trained at
University of Mississippi School of Medicine
Licensed in
MS, OR
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-3442
Fax: (503) 494-5330
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD216721 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD216721 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence T-3673 (MS)

Record details

NPI number1780172957
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2018
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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