Individual
LARISSA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
9560 SW NIMBUS AVE, BEAVERTON, OR 97008-7184
(971) 229-6327
Mailing address
1218 SE 13TH PL, CANBY, OR 97013-6301
(503) 459-1236
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17879
OR
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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