Individual
DR. MICHAEL LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMIN
Contact information
Practice address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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