Individual
CARISSA PAULINE PONTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
811 JOHN ADAMS ST, OREGON CITY, OR 97045-1956
(971) 344-2937
Mailing address
811 JOHN ADAMS ST, OREGON CITY, OR 97045-1956
(971) 344-2937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A13583
OR
1041C0700X
Clinical Social Worker
L30039
OR
Other
Enumeration date
06/29/2023
Last updated
01/13/2025
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