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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARISSA ANN CLARK, LMT

Active

CARISSA ANN CLARK, LMT is a Massage Therapist healthcare provider located in PORTLAND, Oregon. NPI 1194492371 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · PORTLAND, OR

Registration Details

NPI Number
1194492371
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2021 (4.9470598928192 yrs)
Last Updated
Aug 25, 2021

Practice Information

Address
2188 SW PARK PL STE 10
PORTLAND, OR, 972051100
Browse OR providers · Browse ZIP 97205
Phone
5035681390
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in PORTLAND, OR

Name Credential NPI
DR. TIMOTHY GENE IRVING DC, LMT 1689655458
MRS. LEAH JOY BOWDER 1275508780
JOANNA L MCCLISH ATC, LMT 1285690396
MR. PABLO CESAR COHEN LMT 1225088263
DIANNE L PERNETTI LMT 1639129315
MR. MICHAEL ALAN BECKLUND LMT 1083667760
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.