LARISSA RENE MCCULLOUGH

PORTLAND, OR
NPI1114625233
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2023-02-17
Last Update Date2026-06-30
Business Address
LARISSA RENE MCCULLOUGH
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
Mailing Address
LARISSA RENE MCCULLOUGH
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663