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CARISSA SULLIVAN
NPI 1841699238
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since August 21, 2014
1312 SW WASHINGTON ST, PORTLAND, OR 97205(503) 693-3104 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa Sullivan NPPES

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

CARISSA SULLIVAN (NPI 1841699238) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1841699238
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARISSA SULLIVAN
Location Address1312 SW WASHINGTON STPortland, OR 97205-2327
Mailing AddressPo Box 3007Portland, OR 97208-3007
Phone(503) 693-3104
Sole ProprietorNo
Enumeration DateAugust 21, 2014
✔ NPI 1841699238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1312 SW WASHINGTON ST, Portland, OR 97205
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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.

MS. HAYLEY MOORE
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
MR. JACOB PERRY MA
Counselor
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
RALEIGH CRONRATH
Student in an Organized Health Care Education/Training Program
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
NICOLE SWANSON LPN
Substance Abuse Rehabilitation Facility
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
MR. ANTHONY LAMBRICHTS HAUCK CACD II
Counselor (Addiction (Substance Use Disorder))
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1191
MRS. LINDSEY T MOSLEY
Student in an Organized Health Care Education/Training Program
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
EDITH YVONNE ROBERTS REGISTERED NURSE
Registered Nurse
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1151
MARANDA RAE BRAMBORA CRM
Peer Specialist
1312 SW WASHINGTON ST
PORTLAND, OR 97205
Multnomah County (503) 535-1186

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 Sullivan's NPI number?

The NPI number for Carissa Sullivan is 1841699238. It was assigned to this individual provider in the NPPES registry on August 21, 2014.

Where is Carissa Sullivan located?

Carissa Sullivan practices at 1312 SW Washington St, Portland, OR 97205. The listed phone number is (503) 693-3104.

What is Carissa Sullivan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Carissa Sullivan was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.