person
Carissa Ann Clark, LMT
Massage Therapist in Portland, Oregon
NPI 1194492371

Carissa Ann Clark is a Massage Therapist based in Portland, OR. Carissa Ann Clark practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Carissa Ann Clark is 1194492371 and holds a License No. (Oregon).

The current practice location address for Carissa Ann Clark is 2188 Sw Park Pl Ste 10, Portland, OR and can be reached out via phone at 503-568-1390.

Location: 2188 Sw Park Pl Ste 10, Portland, OR, 97205-1100
person
Provider Profile Details
NPI Number
1194492371
Provider Name
Carissa Ann Clark
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2188 Sw Park Pl Ste 10, Portland, OR, 97205-1100
Phone Number
503-568-1390
Fax Number
Provider Enumeration Date
08/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2188 Sw Park Pl Ste 10
City
State
Zip
97205-1100
Phone Number
503-568-1390
Fax Number
person
Provider Business Mailing Address Details
Address
2188 Sw Park Pl Ste 10
City
State
Zip
97205-1100
Phone Number
503-568-1390
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
(Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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