Charisse Nichelle Bordeaux, is a
Case Manager/care Coordinator based in Portland, Oregon. Charisse Nichelle Bordeaux is licensed to practice in * (Not Available) (license number ) and her current practice location is
14600 Nw Cornell Rd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 645-3581.
NPI number for Charisse Nichelle Bordeaux is 1043760234 and her current mailing address is 14600 Nw Cornell Rd, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043760234.
Healthcare Provider's Profile
Full Name | Charisse Nichelle Bordeaux |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 14600 Nw Cornell Rd, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043760234
- Provider Enumeration Date: 10/11/2016
- Last Update Date: 08/10/2018
Medical Identifiers
Medical identifiers for Charisse Nichelle Bordeaux such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043760234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charisse Nichelle Bordeaux is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charisse Nichelle Bordeaux, 14600 Nw Cornell Rd, Portland, OR 97229-5442 Ph: (503) 645-3581 | Charisse Nichelle Bordeaux, 14600 Nw Cornell Rd, Portland, OR 97229 Ph: (503) 645-3581 |
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