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

LARISSA BRIAUN HACKETT

Active

LARISSA BRIAUN HACKETT is a Student (Health Education/Training) healthcare provider located in CHRISTMAS VALLEY, Oregon. NPI 1811642994 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · CHRISTMAS VALLEY, OR

Registration Details

NPI Number
1811642994
Provider Type
Individual
Gender
Female
NPI Issued
Feb 16, 2022 (4.4975995456952 yrs)
Last Updated
Feb 16, 2022

Practice Information

Address
87520 BAY RD
CHRISTMAS VALLEY, OR, 976412233
Browse OR providers · Browse ZIP 97641
Phone
5419476021
Fax
5415763000
Primary Specialty
Student (Health Education/Training)
390200000X
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.