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1790254944
CARISSA ANGELA MARSTON
PORTLAND, OR
NPI
1790254944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA190563)
Enumeration Date
2018-11-16
Last Update Date
2018-11-16
Business Address
CARISSA ANGELA MARSTON
727 W BURNSIDE ST
PORTLAND, OR 97209-3514
Phone number: 503-228-4533
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Mailing Address
CARISSA ANGELA MARSTON
232 NW 6TH AVENUE ATTN: CREDENTIALING
PORTLAND, OR 97209
Phone number: 503-294-1681
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