Individual
DR. DIXIE L.Y. SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, DAOM
Contact information
Practice address
8931 SE FOSTER RD, STE 102, PORTLAND, OR 97266-4661
(503) 255-7000
(503) 255-7001
Mailing address
8931 SE FOSTER RD STE 102, PORTLAND, OR 97266-4661
(503) 255-7000
(503) 255-7001
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01277
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500653508
—
OR
Enumeration date
08/11/2009
Last updated
08/28/2020
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