ISAAC L LARSON

PORTLAND, OR
NPI1144368655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies372600000X Adult Companion
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
-- ISAAC L LARSON RC1
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1915
Phone number: 503-402-8117
Mailing Address
-- ISAAC L LARSON RC1
605 SW BONITA RD APT# K108
LAKE OSWEGO, OR 97035
Phone number: 971-285-2673
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