Individual
DR. LISA KAKISHITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3422 SW 1ST AVE, PORTLAND, OR 97239-4601
(503) 577-4429
(503) 227-5923
Mailing address
833 SW 11TH AVE STE 414, PORTLAND, OR 97205-2118
(503) 221-2939
(503) 227-5923
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8161
OR
Other
Enumeration date
12/07/2006
Last updated
01/13/2012
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