Individual
JESSICA N LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
16703 SE MCGILLIVRAY BLVD STE 175, VANCOUVER, WA 98683-4301
(360) 519-7631
Mailing address
16746 NW OAK CREEK DR, BEAVERTON, OR 97006-7481
(503) 277-3509
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
WA
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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