Individual
CARISSA BERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941
(971) 346-4710
Mailing address
30 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941
(971) 346-4710
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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