Individual provider · Type 1 NPI
Larissa Lara
Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
NPI number
1295575454
Active
Practice location
3415 SE Powell Blvd
Portland, OR 97202-3371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1295575454
Larissa Lara's National Provider Identifier is 1295575454, issued on May 27, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Portland, OR. The record was last updated on May 27, 2024.