Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, LAC, LMT
Contact information
Practice address
2146 NE 4TH ST STE 160, BEND, OR 97701-3618
(541) 306-4471
(541) 566-7493
Mailing address
2146 NE 4TH ST STE 160, BEND, OR 97701-3618
(907) 317-8437
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC209012
OR
175F00000X
Naturopath
Primary
4421
OR
225700000X
Massage Therapist
26825
OR
225700000X
Massage Therapist
5752
AL
Other
Enumeration date
10/02/2021
Last updated
05/13/2022
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