Individual
VICTORIA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-0480
Mailing address
245 SW LINCOLN ST APT 136, PORTLAND, OR 97201-5084
(765) 585-0288
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147002016
IL
231H00000X
Audiologist
31047
OR
Other
Enumeration date
08/22/2022
Last updated
09/12/2024
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