Individual
LARISA JEFFREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.M.H.N.P.
Contact information
Practice address
2340 NW THURMAN ST., SUITE 202, PORTLAND, OR 97210-2579
(503) 227-0975
(971) 339-4849
Mailing address
2340 NW THURMAN ST., SUITE 202, PORTLAND, OR 97210-2579
(503) 227-0975
(971) 339-4849
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200350004
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200350004NP
OR
Other
Enumeration date
11/28/2006
Last updated
03/29/2022
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