Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TISHA MARIE LARSEN
ActiveTISHA MARIE LARSEN is a Substance Abuse Psychiatric Nurse healthcare provider located in ROSEBURG, Oregon. NPI 1578954855 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Psychiatric Nurse · ROSEBURG, OR
Registration Details
- NPI Number
- 1578954855
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 9, 2015 (11.537616948913 yrs)
- Last Updated
- Oct 12, 2021
- Licenses
-
201500780NP-PP (OR)201910861NP-PP (OR)
Practice Information
- Address
-
621 W MADRONE STROSEBURG, OR, 974703090Browse OR providers · Browse ZIP 97470
- Phone
- 5414403500
- Fax
- 5419573003
- Primary Specialty
-
Substance Abuse Psychiatric Nurse
163WP0809X
- Additional Specialty
- Substance Abuse Psychiatric Nurse
Other Substance Abuse Psychiatric Nurse Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN EVA WARD | PMHNP, CS | 1205945052 |
| CRAIG GOOCH | RN | 1861718819 |
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.