Individual
CARISSA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMSC, PA-C
Contact information
Practice address
2725 SW CEDAR HILLS BLVD STE 200, BEAVERTON, OR 97005-1435
(503) 352-6000
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
(503) 352-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2020
Last updated
03/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us