Individual ProviderClarissa SmithAcupuncturistOther Service ProvidersPractice Address1920 NW Lovejoy St, Portland, OR 97209-1504(503) 417-1774(503) 227-3304PECOS EnrollmentBased on the most recent information from CMS, provider Clarissa Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 5:04 PM.Profile DetailsProvider ID1982791588Provider TypeIndividualFull NameSmith, ClarissaCredentialL.AC.GenderFemaleSole ProprietorNoEnumeration Date10/6/2006Last Updated7/21/2022Contact InformationPractice LocationPractice Address1920 NW Lovejoy St, Portland, OR 97209-1504Phone(503) 417-1774Fax(503) 222-3339Mailing LocationMailing Address6905 N Fenwick Ave, Portland, OR 97217-5305Phone(503) 227-3304FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC00404Oregon