Larissa Rene McCullough
Larissa Rene McCullough is a Counselor in Portland, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1904 SE Division StPortland, OR 97202-1146
Phone: (503) 517-8663
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1114625233 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 17, 2023 |
| Last updated in NPPES | June 30, 2026 |
| Certification date | June 30, 2026 |
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