Individual
SCOTT DAVID MIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MACOM, PHD
Contact information
Practice address
3705 SE CESAR CHAVEZ BLVD, PORTLAND, OR 97202-1704
(971) 420-3245
Mailing address
4116 SE OAK ST, PORTLAND, OR 97214-2032
(971) 998-3505
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
OR00779
OR
Other
Enumeration date
01/29/2010
Last updated
04/23/2025
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