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Individual

ALYSON DAWN LARKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CD, THW

Contact information

Practice address
17506 SW MASONVILLE RD, MCMINNVILLE, OR 97128-8564
(503) 975-2324
Mailing address
17506 SW MASONVILLE RD, MCMINNVILLE, OR 97128-8564
(503) 975-2324

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
THW000104582
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
THW000104582
TRADITIONAL HEALTH WORKER (THW) REGISTRY NUMBER
Enumeration date
06/15/2021
Last updated
06/15/2021
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