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CARISSA FAWN BLANK LPN
NPI 1114356714
Licensed Practical Nurse in Eugene, OR

Active since November 04, 2013
151 W 7TH AVE, SUITE 100, EUGENE, OR 97401(541) 682-8779(541) 682-9924 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carissa Fawn Blank Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARISSA FAWN BLANK LPN (NPI 1114356714) is an individual licensed practical nurse in Eugene, Oregon, licensed in Oregon (201393726LPN) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1114356714
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCARISSA FAWN BLANKCredential: LPN
Location Address151 W 7TH AVE, SUITE 100Eugene, OR 97401-1100
Mailing Address25110 Perkins RdVeneta, OR 97487-9756 · (541) 505-0498
Phone(541) 682-8779
Fax(541) 682-9924
Sole ProprietorNo
Enumeration DateNovember 4, 2013
Last NPPES UpdateApril 30, 2015
✔ NPI 1114356714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OR · 201393726LPN
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

151 W 7TH AVE, Eugene, OR 97401
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Other Names 1

Former Name (1)Carissa Fawn Webb

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICOLE MARIA-PHYLLIS HAUCK M.D.
Pediatrics
151 W 7TH AVE, SUITE 100
EUGENE, OR 97401
Lane County (541) 682-3550
DR. ERICKA LEE SOUDERS PH.D., L.P.C.
Counselor (Mental Health)
151 W 7TH AVE
EUGENE, OR 97401
Lane County (541) 682-3550
MRS. KARLA CURRIE LPN
Licensed Practical Nurse
151 W 7TH AVE, RM. 163
EUGENE, OR 97401
Lane County (541) 682-4135
TAMA FERN RN
Registered Nurse (Community Health)
151 W 7TH AVE
EUGENE, OR 97401
Lane County (541) 682-4041
MARILYN ARLENE STARKS LPN
Licensed Practical Nurse
151 W 7TH AVE
EUGENE, OR 97401
Lane County (541) 682-4464
MARTHA DEBROEKERT RN
Registered Nurse
151 W 7TH AVE, ROOM 310
EUGENE, OR 97401
Lane County (541) 682-4041
SIDNEY BUFFINGTON RN
Registered Nurse (Community Health)
151 W 7TH AVE
EUGENE, OR 97401
Lane County (541) 682-4041
MRS. ALISHA EDITH PIERZINA RN
Registered Nurse (Case Management)
151 W 7TH AVE, LANE COUNTY PUBLIC HEALTH
EUGENE, OR 97401
Lane County (541) 682-3939

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carissa Blank's NPI number?

The NPI number for Carissa Blank is 1114356714. It was assigned to this individual provider in the NPPES registry on November 4, 2013. The provider is also known as Carissa Fawn Webb.

Where is Carissa Blank located?

Carissa Blank practices at 151 W 7th Ave Suite 100, Eugene, OR 97401. The listed phone number is (541) 682-8779.

What is Carissa Blank's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Carissa Blank was last updated on April 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.