Individual
MRS. ALISON MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
46780 NW GRAHAM RD, BANKS, OR 97106-7029
(504) 924-7511
Mailing address
46780 NW GRAHAM RD, BANKS, OR 97106-7029
(504) 924-7511
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200840957RN
OR
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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