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CARISSA ANN CLARK LMT
NPI 1194492371
Massage Therapist in Portland, OR

Active since August 25, 2021
2188 SW PARK PL STE 10, PORTLAND, OR 97205(503) 568-1390 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carissa Ann Clark Lmt NPPES

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

CARISSA ANN CLARK LMT (NPI 1194492371) is an individual massage therapist in Portland, Oregon and active in the NPI registry since August 2021. She maintains a secondary practice location in Beaverton.

NPPES Registry Identity

NPI1194492371
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCARISSA ANN CLARKCredential: LMT
Location Address2188 SW PARK PL STE 10Portland, OR 97205-1100
Mailing Address2188 Sw Park Pl Ste 10Portland, OR 97205-1100 · (503) 568-1390
Phone(503) 568-1390
Sole ProprietorNo
Enumeration DateAugust 25, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1194492371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
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.
2188 SW PARK PL STE 10, Portland, OR 97205
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Other Names 1

Former Name (1)Carissa Ann Jobe

Secondary Practice Location 1

Location 110029 SW Nimbus Ave Ste 230Beaverton, OR 97008-7110 · Phone (503) 372-6035

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 3

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

MRS. SILVIA L PLANAS LMT
Massage Therapist
2188 SW PARK PL STE 10
PORTLAND, OR 97205
Multnomah County (503) 568-1390
MATTHEW ERWIN LMT
Massage Therapist
2188 SW PARK PL STE 10
PORTLAND, OR 97205
Multnomah County (503) 568-1390
MEGAN FERRY LMT
Massage Therapist
2188 SW PARK PL STE 10
PORTLAND, OR 97205
Multnomah County (503) 568-1390

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 Clark's NPI number?

The NPI number for Carissa Clark is 1194492371. It was assigned to this individual provider in the NPPES registry on August 25, 2021. The provider is also known as Carissa Ann Jobe.

Where is Carissa Clark located?

Carissa Clark practices at 2188 SW Park Pl Ste 10, Portland, OR 97205. The listed phone number is (503) 568-1390.

What is Carissa Clark's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

What insurance does Carissa Clark accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Carissa Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carissa Clark was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.