Individual
LARISA ANN KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7754 SW CAPITOL HWY STE 3, PORTLAND, OR 97219-2592
(503) 734-4816
Mailing address
7275 SW 82ND AVE, PORTLAND, OR 97223-7319
(503) 734-4816
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R10840
OR
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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