Individual provider · Type 1 NPI

Mary Kathleen Patterson Larson

Mental Health Counselor · Portland, OR

NPI number 1093996498 Active

Practice location

1500 NE Irving St Ste 250
Portland, OR 97232-2265

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1093996498

Mary Kathleen Patterson Larson's National Provider Identifier is 1093996498, issued on Nov 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 15, 2007.