Individual
MS. ANNIK LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8532 N IVANHOE ST, SUITE 205, PORTLAND, OR 97203-4827
(503) 957-0135
Mailing address
8532 N IVANHOE ST, SUITE 205, PORTLAND, OR 97203-4827
(503) 957-0135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1707
OR
Other
Enumeration date
05/12/2007
Last updated
01/04/2010
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