CARISSA ELLIS

BEAVERTON, OR
NPI1518580646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-05-22
Last Update Date2025-03-18
Business Address
CARISSA ELLIS DMSc, PA-C
2725 SW CEDAR HILLS BLVD STE 200
BEAVERTON, OR 97005-1435
Phone number: 503-352-6000
Mailing Address
CARISSA ELLIS DMSc, PA-C
PO BOX 6149
ALOHA, OR 97007-0149
Phone number: 503-352-6000