LARISSA MARIE BANITT

PORTLAND, OR
NPI1689494601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-10-15
Last Update Date2024-10-15
Business Address
LARISSA MARIE BANITT
3455 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number: 503-381-2201
Mailing Address
LARISSA MARIE BANITT
3455 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number:
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