Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Ann Larson

Individual provider Peer Specialist · NPI 1265298772

Kimberly Ann Larson is a Peer Specialist in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5331 S Macadam Ave Ste 287
Portland, OR 97239-3849
Phone: (503) 635-3416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1265298772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2024
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

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