Individual
HANNAH LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 571-8879
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 571-8879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9172
OR
183500000X
Pharmacist
PH 39914
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
9172
OR
Other
Enumeration date
10/17/2016
Last updated
04/28/2020
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