Individual provider Active NPI

Amy Rochelle Smith, CNM

  • Advanced Practice Midwife
  • Portland, OR
National Provider Identifier
1609020056
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
10006238 Issued in OR
Practice address
8428 NE Russell St
Portland, OR 97220-5350
Phone
(503) 312-9461
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 10006238 OR Primary
Home Health Registered Nurse 163WH0200X 201908925RN OR
Advanced Practice Midwife 367A00000X ARNP.AP.70030742-CNM WA

Addresses

Primary practice location

8428 NE Russell St
Portland, OR 97220-5350

Mailing address

8428 NE Russell St
Portland, OR 97220-5350
Phone (503) 312-9461

Other practice location 1

9135 SW Barnes Rd Ste 761
Portland, OR 97225-6777
Phone (503) 216-2602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230814002457 OR Practitioner - Certified Nurse Midwife (CNM) 6305208976 Reassigns benefits to 2 organizations
I20251124003789 WA Practitioner - Certified Nurse Midwife (CNM) 6305208976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 NE 87TH Ave
Vancouver, WA 98664-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
201908925RNORMDHome Health Registered Nurse
10006238ORMDAdvanced Practice Midwife
ARNP.AP.70030742-CNMWAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Aug 1, 2023 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2023 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Dec 9, 2025 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Dec 9, 2025 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients

Locations

12345 SW Horizon Blvd
Ste 57
Beaverton, OR 97007
Phone (503) 216-8820

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

9135 SW Barnes Rd
Ste 761
Portland, OR 97225
Phone (503) 216-2602

1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1609020056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 NE RUSSELL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205350",
            "telephone_number": "503-312-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8428 NE RUSSELL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205350",
            "telephone_number": "503-312-9461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9135 SW Barnes Rd Ste 761",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256777",
            "country_code": "US",
            "telephone_number": "503-216-2602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "ROCHELLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "10006238",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OR",
            "license": "201908925RN",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "ARNP.AP.70030742-CNM",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.