Individual
MS. ELLEN GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
111 NE JESSUP ST, PORTLAND, OR 97211-2517
(503) 230-8973
(503) 230-8978
Mailing address
PO BOX 11221, PORTLAND, OR 97211-0221
(503) 230-8973
(503) 230-8978
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00442
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182359
—
OR
Enumeration date
07/07/2006
Last updated
06/09/2020
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