LARRY EDWIN RAYMOND JASPER

SHERWOOD, OR
NPI1710577424
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: OR  3164)
Enumeration Date2021-01-26
Last Update Date2021-01-26
Business Address
LARRY EDWIN RAYMOND JASPER PsyD
22566 SW WASHINGTON ST STE 202
SHERWOOD, OR 97140-7923
Phone number: 503-752-0213
Mailing Address
LARRY EDWIN RAYMOND JASPER PsyD
22566 SW WASHINGTON ST STE 202
SHERWOOD, OR 97140-7923
Phone number: 503-752-0213
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