Individual
LARISA ALBA GASPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 PORTLAND RD NE STE 120, SALEM, OR 97301-0200
(503) 390-5637
Mailing address
2645 PORTLAND RD NE STE 120, SALEM, OR 97301-0200
(503) 390-5637
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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