ALISA LARAE LARSON

PORTLAND, OR
NPI1245034958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-02
Last Update Date2025-04-07
Business Address
ALISA LARAE LARSON
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-1111
Mailing Address
ALISA LARAE LARSON
2033 CRANDALL RD
TIVERTON, RI 02878-2761
Phone number: 503-459-6889