Individual
DR. LARRY S HART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5319 SW WESTGATE DR, #147, PORTLAND, OR 97221-2430
(503) 297-2019
(503) 297-9496
Mailing address
5319 SW WESTGATE DR, #147, PORTLAND, OR 97221-2430
(503) 297-2019
(503) 297-9496
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1374
OR
103T00000X
Psychologist
629
OR
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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