CHARISSE RENEE SQUIRES

PORTLAND, OR
NPI1518571322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: OR  AC195577)
Enumeration Date2020-08-31
Last Update Date2020-08-31
Business Address
CHARISSE RENEE SQUIRES LAC
1804 SE OAK ST
PORTLAND, OR 97214-1538
Phone number: 503-853-2005
Mailing Address
CHARISSE RENEE SQUIRES LAC
1804 SE OAK ST
PORTLAND, OR 97214-1538
Phone number: 503-853-2005
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