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

Carissa Sullivan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841699238

Carissa Sullivan is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

1312 SW Washington St
Portland, OR 97205-2327
Phone: (503) 693-3104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1841699238
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2014
Last updated in NPPESAugust 21, 2014

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