Individual
LORI JO MARLIA-LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200942263RN
OR
367A00000X
Advanced Practice Midwife
Primary
201602517NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200942263RN
OSBN
OR
01
—
201602517NP-PP
OREGON STATE BOARD OF NURSING
OR
Enumeration date
04/03/2013
Last updated
01/10/2020
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