Provider Demographics
NPI:1578278503
Name:BARTON, CARISSA RENEE
Entity Type:Individual
Prefix:MRS
First Name:CARISSA
Middle Name:RENEE
Last Name:BARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6295 FOLEY LN
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-9606
Mailing Address - Country:US
Mailing Address - Phone:541-890-9393
Mailing Address - Fax:
Practice Address - Street 1:6295 FOLEY LN
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-9606
Practice Address - Country:US
Practice Address - Phone:541-890-9393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide