Individual provider · Type 1 NPI
Donnissa Smith, THE BEAUTY THRONE
Specialist · Portland, OR
NPI number
1770044281
Active
Practice location
117 SE 129th Ave
Portland, OR 97233-1503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | COS-HA-10154523 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1770044281
Donnissa Smith, THE BEAUTY THRONE's National Provider Identifier is 1770044281, issued on Mar 27, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Mar 27, 2019.