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

Micah Smith, ATC

Individual provider Athletic Trainer · NPI 1992257331

Micah Smith, ATC is an Athletic Trainer in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

7325 SW Childs Rd
Portland, OR 97224-7713
Phone: (317) 504-0593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 10226142 (OR)

Record details

NPI number1992257331
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedNovember 2, 2016
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024
Mailing address411 W Hawkins Pkwy, Apt 4301, Longview, TX 75605-1723

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