Individual
LISE-ALLYNNE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4922 N VANCOUVER AVE, PORTLAND, OR 97217-2826
(503) 493-9398
Mailing address
4922 N VANCOUVER AVE, PORTLAND, OR 97217-2826
(503) 493-9398
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00865
OR
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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