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Individual

CARISSA LOFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7739 SW CAPITOL HWY STE 260, PORTLAND, OR 97219-2571
(541) 640-0016
Mailing address
7739 SW CAPITOL HWY STE 260, PORTLAND, OR 97219-2571
(541) 640-0016

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
OR

Other

Enumeration date
09/11/2023
Last updated
08/05/2025
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