Individual
CLARISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1920 NW LOVEJOY ST, PORTLAND, OR 97209-1504
(503) 417-1774
(503) 222-3339
Mailing address
6905 N FENWICK AVE, PORTLAND, OR 97217-5305
(503) 227-3304
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00404
OR
Other
Enumeration date
10/06/2006
Last updated
07/21/2022
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