Organization
CHARISSE RENEE SQUIRES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARISSE SQUIRES DACM (LAC)
(503) 853-2005
Entity
Organization
Contact information
Practice address
10854 SW WASHINGTON ST, PORTLAND, OR 97225-6962
(503) 853-2005
Mailing address
10854 SW WASHINGTON ST, PORTLAND, OR 97225-6962
(503) 853-2005
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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