Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carissa Ellis, DMSC, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518580646

Carissa Ellis, DMSC, PA-C is a Student in an Organized Health Care Education/Training Program in Beaverton, Oregon. Works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Beaverton, OR

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 222 Se 8th Ave Ste 536, Hillsboro, OR 97123-4218 — (503) 352-7299
  • 1401 N 10th Ave Ste 100, Stayton, OR 97383-1486 — (503) 769-6386

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518580646
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMSC , PA-C
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

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