Larissa Lara
Larissa Lara is a Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3415 SE Powell BlvdPortland, OR 97202-3371
Phone: (888) 295-6996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1295575454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | Yes |
| NPI enumerated | May 27, 2024 |
| Last updated in NPPES | May 27, 2024 |
| Certification date | May 27, 2024 |
| Mailing address | 3415 Se Powell Blvd, Portland, OR 97202-3371 |
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