Individual
DR. HEATHER MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
310 VILLA RD, SUITE 104, NEWBERG, OR 97132-1886
(503) 537-3546
Mailing address
435 NW ISLAND CIR, APT. B1, BEAVERTON, OR 97006-8362
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22930
OR
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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