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1326193871
LISA ARLENE LARSON
PORTLAND, OR
NPI
1326193871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- LISA ARLENE LARSON
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-760-9606
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Mailing Address
-- LISA ARLENE LARSON
884 NE 90TH AVE
PORTLAND, OR 97220-5787
Phone number: 503-408-8673
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