CARISSA ELLIS, DMSC, PA-C
Physician Assistant
Active
Individual
NPI: 1518580646
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1518580646 is the National Provider Identifier for CARISSA ELLIS, DMSC, PA-C, a Physician Assistant provider located in Beaverton, OR. This NPI was enumerated on May 22, 2020.
CARISSA ELLIS, DMSC, PA-C practices at 2725 SW CEDAR HILLS BLVD STE 200, Beaverton, OR 97005.
Quick Facts
- NPI
- 1518580646
- Type
- Individual
- Enumerated
- May 22, 2020
- Last Updated
- Mar 18, 2025
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