Bakker, Carissa Eloise
Bakker, Carissa Eloise is an individual health care provider with primary practice located at 4585 Sw 185Th Ave , Aloha OR 97007-1557. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Bakker, Carissa Eloise can be contacted via phone (503) 758-9863.Contact Information
Primary practice address
4585 Sw 185Th Ave
Aloha OR 97007-1557
Phone: (503) 758-9863
Fax: (503) 848-2072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1487968871 |
|---|---|
| LBN Legal business name | Bakker, Carissa Eloise |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2010 |
| Last updated | Dec 2nd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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