Individual
MR. LARRY A FRICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
2425 MYRTLE AVE NE, SALEM, OR 97303-5144
(503) 581-4393
Mailing address
10700 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3019
(503) 503-6927
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
01/29/2007
Last updated
02/26/2019
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