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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA190563 | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
727 W BURNSIDE ST |
City | PORTLAND |
State | OR |
Zip Code | 97209-3514 |
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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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 |
Find all providers in zip 97209 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
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 |
Find all providers in PORTLAND |
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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.