Individual provider · Type 1 NPI

Emma Larson

Mental Health Counselor · Beaverton, OR

NPI number 1396500864 Active

Practice location

12655 SW Center St Ste 221
Beaverton, OR 97005-4769

Mailing address

2884 SE Lake Rd Apt 32
Milwaukie, OR 97222-6853

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1396500864

Emma Larson's National Provider Identifier is 1396500864, issued on Feb 14, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaverton, OR. The record was last updated on Feb 14, 2024.