Individual
HANNAH LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
284 KNAPP LN, EUGENE, OR 97404-3133
(503) 428-8629
Mailing address
284 KNAPP LN, EUGENE, OR 97404-3133
(503) 428-8629
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15880
OR
Other
Enumeration date
05/05/2018
Last updated
05/05/2018
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