Organization
JADE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARISSA SMITH (OWNER)
(503) 417-1774
Entity
Organization
Contact information
Practice address
1920 NW LOVEJOY ST, PORTLAND, OR 97209-1504
(503) 417-1774
(503) 222-3339
Mailing address
1920 NW LOVEJOY ST, PORTLAND, OR 97209-1504
(503) 417-1774
(503) 222-3339
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00404
OR
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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