Individual
MS. LISA CATHERINE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1614 NE ALBERTA STREET, PORTLAND, OR 97203
(541) 399-3169
Mailing address
PO BOX 2383, WHITE SALMON, WA 98672-2383
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150754
OR
171100000X
Acupuncturist
AC60134759
WA
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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