ALISA LARAE LARSON

PORTLAND, OR
NPI1245034958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  10045113)
Enumeration Date2025-04-02
Last Update Date2025-10-30
Business Address
ALISA LARAE LARSON CRNA
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-1111
Mailing Address
ALISA LARAE LARSON CRNA
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-1111
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