Pelson, Karissa Marie

Pelson, Karissa Marie is an individual health care provider with primary practice located at 2673 Trinity Way , Grants Pass OR 97527-6720. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Pelson, Karissa Marie can be contacted via phone (541) 476-1697.

Contact Information

Primary practice address
2673 Trinity Way Grants Pass OR 97527-6720
Phone: (541) 476-1697
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4444 Oregon

Profile Details

NPI number 1376511626
LBN Legal business name Pelson, Karissa Marie
Credentials D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376511626 NPPES
Oregon Other 4444 LICENSE

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