ADA Accessibility Information
Accessibility
A
A
A
511 SW 10th Ave #902, Portland, OR 97205
Call: (503) 822-0262
Along with Dr. Klingensmith's staff, Dr. Lisa Kakishita
has assumed patient care for Dr. Klingensmith's patients.
www.aspiredental.net

Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

Have you visited our office before? *

Yes No  

What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

Confirmation

How do you prefer to be contacted? *

  Email   Phone  

 
 

It may take a moment to submit your information. Please wait for a confirmation message.

 
Carol Klingensmith, DMD
511 SW 10th Ave #902,
Portland, OR 79101-3349

Phone: (503) 822-0262
Fax: (503) 220-4183
Email: aspire@aspiredental.net