Individual
AMBER LARKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 NE 160TH AVE, PORTLAND, OR 97230-5403
(443) 907-5761
Mailing address
107 NE 160TH AVE, PORTLAND, OR 97230-5403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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