Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa Ann Clark, LMT

Individual provider Massage Therapist · NPI 1194492371

Carissa Ann Clark, LMT is a Massage Therapist in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2188 SW Park Pl Ste 10
Portland, OR 97205-1100
Phone: (503) 568-1390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10029 Sw Nimbus Ave Ste 230, Beaverton, OR 97008-7110 — (503) 372-6035

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X (OR)

Record details

NPI number1194492371
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedAugust 25, 2021
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

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