Bordeaux, Charisse Nichelle

Bordeaux, Charisse Nichelle is an individual health care provider with primary practice located at 14600 Nw Cornell Rd , Portland OR 97229. 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. Bordeaux, Charisse Nichelle can be contacted via phone (503) 645-3581.

Contact Information

Primary practice address
14600 Nw Cornell Rd Portland OR 97229
Phone: (503) 645-3581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1043760234
LBN Legal business name Bordeaux, Charisse Nichelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2016
Last updated Aug 10th, 2018 - about 7 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.

Request for update

Popular Providers