person
Kimberly Ann Larson
Peer Specialist in Portland, Oregon
NPI 1265298772

Kimberly Ann Larson is a Peer Specialist based in Portland, OR. Kimberly Ann Larson practices in Portland, OR. The NPI Number for Kimberly Ann Larson is 1265298772 and holds a License No. (Oregon).

The current practice location address for Kimberly Ann Larson is 5331 S Macadam Ave Ste 287, Portland, OR and can be reached out via phone at 503-635-3416.

Location: 5331 S Macadam Ave Ste 287, Portland, OR, 97239-3849
person
Provider Profile Details
NPI Number
1265298772
Provider Name
Kimberly Ann Larson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5331 S Macadam Ave Ste 287, Portland, OR, 97239-3849
Phone Number
503-635-3416
Fax Number
Provider Enumeration Date
02/22/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5331 S Macadam Ave Ste 287
City
State
Zip
97239-3849
Phone Number
503-635-3416
Fax Number
person
Provider Business Mailing Address Details
Address
5331 S Macadam Ave Ste 287
City
State
Zip
97239-3849
Phone Number
503-635-3416
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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