Individual provider · Type 1 NPI

Brad Walter Larsen, PSYD

Psychologist · Portland, OR

NPI number 1679723845 Active

Practice location

3050 SE Division St Ste 215
Portland, OR 97202-1451

Call (503) 715-5468 Map

Fax (503) 715-5469

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X2269 (OR)
Psychologist Primary 103T00000X2269 (OR)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1679723845

Brad Walter Larsen, PSYD's National Provider Identifier is 1679723845, issued on Sep 24, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Portland, OR. The record was last updated on Jul 12, 2023.