Individual
KALISTA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 S MACADAM AVE STE 306, PORTLAND, OR 97239-3927
(503) 224-0443
Mailing address
5320 SE 87TH AVE, PORTLAND, OR 97266-3812
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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