Individual
CARISA ENSIGN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5945 SE KELLY ST, PORTLAND, OR 97206-2051
(503) 841-0903
Mailing address
5945 SE KELLY ST, PORTLAND, OR 97206-2051
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20199
OR
Other
Enumeration date
12/23/2018
Last updated
04/13/2026
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