Individual
RAFAEL LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4455 NE HIGHWAY 20 STE 203, CORVALLIS, OR 97330-9695
(417) 574-4909
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L7427
OR
Other
Enumeration date
09/18/2014
Last updated
10/31/2018
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