MEDICARE: CARISSA ANGELA MARSTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA190563	OR
2	363AM0700X	Medical Physician Assistant	PA190563	OR

General Provider Information

NPI Number	:	1790254944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARISSA ANGELA MARSTON

Provider Business Mailing Address
First Line	:	232 NW 6TH AVENUE
Second Line	:	ATTN: CREDENTIALING
City	:	PORTLAND
State	:	OR
Zip	:	97209
Country	:	US
Telephone Number	:	503-294-1681
Fax Number	:

Provider Business Practice Location Address
First Line	:	727 W BURNSIDE ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-3514
Country	:	US
Telephone Number	:	503-228-4533
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2018
Last Update Date	:	02/02/2026

Similar Medicare Providers

1568410538 — DAVID NIGEL ADLER III L.AC.
Practice Location Address:

727 W BURNSIDE ST
PORTLAND, OR
97209-3514

Practice Phone: 503-228-4533
Practice Fax:

1447265939 — JESSICA LAMPKIN GREGG MD
Practice Location Address:

727 W BURNSIDE ST
PORTLAND, OR
97209-3514

Practice Phone: 503-228-4533
Practice Fax:

1043229248 — DR. PAT A BUCKLEY ND, PA-C
Practice Location Address:

727 WEST BURNSIDE
PORTLAND, OR
97209-3514

Practice Phone: 503-228-4533
Practice Fax: 503-228-4618

1346325883 — MS. CYNTHIA KATHLEEN RUTTO RN MS PMHNP
Practice Location Address:

727 W BURNSIDE ST
PORTLAND, OR
97209-3514

Practice Phone: 503-228-7134
Practice Fax: 888-261-6655

1801962279 — BRIAN J ZRALEK MSSW, CADC I
Practice Location Address:

727 W BURNSIDE ST
PORTLAND, OR
97209-3514

Practice Phone: 503-228-4533
Practice Fax:

1558569855 — GEOFFREY DAVID SITTLER OTR
Practice Location Address:

727 WEST BURNSIDE
PORTLAND, OR
97209-3514

Practice Phone: 503-228-4533
Practice Fax: 503-228-4618

Directions to “ CARISSA ANGELA MARSTON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.