CARISSA ANGELA MARSTON


Address: 727 W Burnside St, Portland, OR 97209-3514
Phone: 5032284533

CARISSA ANGELA MARSTON (NPI# 1790254944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790254944
Entity Type Individual
Full Name CARISSA ANGELA MARSTON
Practice Address 727 W Burnside St
Portland
OR 97209-3514
Mailing Address 232 Nw 6th Avenue
Attn: Credentialing
Portland
OR 97209
Practice Telephone 5032284533
Mailing Telephone 5032941681
Enumeration Date 2018-11-16
Last Update Date 2018-11-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA190563 OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 727 W BURNSIDE ST
City PORTLAND
State OR
Zip Code 97209-3514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568410538 David Nigel Adler IIi Acupuncturist 727 W Burnside St, Portland, OR 97209-3514 2006-05-04
1053973107 Barbara Jean Cordova Ayala Licensed Practical Nurse 727 W Burnside St, Portland, OR 97209-3514 2019-06-28
1386200186 Ronnie Lee Pickering Student in an Organized Health Care Education/Training Program 727 W Burnside St, Portland, OR 97209-3514 2019-05-16
1518447119 Amanda Nicole Cantu Licensed Practical Nurse 727 W Burnside St, Portland, OR 97209-3514 2018-08-14
1194204552 Livian Marie Rand Acupuncturist 727 W Burnside St, Portland, OR 97209-3514 2018-08-07
1508366733 Jason Sheffey Peer Specialist 727 W Burnside St, Portland, OR 97209-3514 2018-02-14
1528566445 Mathew Reichardt Counselor 727 W Burnside St, Portland, OR 97209-3514 2018-01-25
1639681638 Julie Cha Beert Pharmacist 727 W Burnside St, Portland, OR 97209-3514 2017-10-30
1821500117 Kimberly Marie Hutchinson Registered Nurse 727 W Burnside St, Portland, OR 97209-3514 2017-10-26
1942727128 Tiffany Tsai Pharmacist 727 W Burnside St, Portland, OR 97209-3514 2017-08-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427676493 Lindsey Louise Peterson Physician Assistant 3505 N Williams Ave, Portland, OR 97227-1437 2020-07-07
1518584036 Abigail Nichole Dumont Physician Assistant 6064 Sw 30th Ave, Portland, OR 97239-1018 2020-06-30
1336769637 Molly Tanguay Physician Assistant 23 Bramhall St, Portland, ME 04102-3121 2020-04-16
1063040525 Jessica Nursick Physician Assistant 26 Sand Hill Rd, Portland, CT 06480-1737 2020-03-31
1689217630 Evan Eisher Physician Assistant 3809 Se Stephens St, Portland, OR 97214-5248 2019-10-22
1508407941 Amie Bates Physician Assistant 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 2019-10-07
1558923326 Mackenzie Graye Mcmillin Physician Assistant 1601 Congress St Ste 1, Portland, ME 04102-2145 2019-07-02
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1942794839 Michael Peterson Physician Assistant 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 2018-06-14
1306383930 Rachel Lynn Witowski Physician Assistant 2124 Nw Hoyt St, Portland, OR 97210-3215 2017-01-20
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Competitor

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City PORTLAND
Zip Code 97209

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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