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1518026491
LISA KAKISHITA
PORTLAND, OR
NPI
1518026491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR d8161)
Enumeration Date
2006-12-07
Last Update Date
2012-01-13
Business Address
Dr. LISA KAKISHITA DMD
3422 SW 1ST AVE
PORTLAND, OR 97239-4601
Phone number: 503-577-4429
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Mailing Address
Dr. LISA KAKISHITA DMD
833 SW 11TH AVE STE 414
PORTLAND, OR 97205-2118
Phone number: 503-221-2939
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