DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARISSA LARA

Active Sole Proprietor

LARISSA LARA is a Mental Health Clinic healthcare provider located in PORTLAND, Oregon. NPI 1295575454 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · PORTLAND, OR

Registration Details

NPI Number
1295575454
Provider Type
Individual
Gender
Unknown
NPI Issued
May 27, 2024 (2.2471665662358 yrs)
Last Updated
May 27, 2024
Sole Proprietor
Yes

Practice Information

Address
3415 SE POWELL BLVD
PORTLAND, OR, 972023371
Browse OR providers · Browse ZIP 97202
Phone
8882956996
Primary Specialty
Mental Health Clinic
261QM0801X

Other Mental Health Clinic Providers in PORTLAND, OR

Name Credential NPI
MR. ALLAN ROYCE JONES JR. LPC 1447420930
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.