Individual
JESSICA LARSON-WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12725 SW MILLIKAN WAY STE 300, BEAVERTON, OR 97005-1687
(503) 506-0371
Mailing address
10940 SW BARNES RD # 236, PORTLAND, OR 97225-5368
(503) 506-0371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5461
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500826285
—
OR
Enumeration date
03/27/2013
Last updated
10/23/2025
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