Individual
LARISSA HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18911 PORTLAND AVE, GLADSTONE, OR 97027-1630
(503) 655-8471
Mailing address
PO BOX 111, MOLALLA, OR 97038-0111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11607
OR
Other
Enumeration date
06/10/2020
Last updated
11/22/2024
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