Search › Oregon › 171100000X
Charisse Squires, LAC
NPI 1518571322 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1804 Se Oak St
Portland, OR 97214 - Phone
- (503) 853-2005
Additional practice sites
- 12778 Se Stark St, Portland, OR
- 5308 Se Rhone St, Portland, OR
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon