Organization
LARSEN SANCHEZ PSYCHOLOGY, LLC
Active
Other names
Portland Mental Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD LARSEN PSYD (PSYCHOLOGIST/OWNER)
(503) 715-5468
Entity
Organization
Contact information
Practice address
905 SE 14TH AVE, PORTLAND, OR 97214-2569
(503) 622-8964
Mailing address
905 SE 14TH AVE, PORTLAND, OR 97214-2569
(503) 715-5468
(503) 715-5469
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
04/30/2015
Last updated
11/05/2023
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