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Individual

ROBERT LARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
111 SE 3RD AVE, STE B, HILLSBORO, OR 97123-4036
(503) 597-3970
Mailing address
111 SE 3RD AVE, STE B, HILLSBORO, OR 97123-4036
(503) 597-3970

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
11/09/2012
Last updated
11/09/2012
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