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1982063806
AARON JOHN LARSON
PORTLAND, OR
NPI
1982063806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
(Licence: OR 15-12-23U)
Enumeration Date
2016-02-19
Last Update Date
2016-02-19
Business Address
-- AARON JOHN LARSON CADC1
1631 SW COLUMBIA ST
PORTLAND, OR 97201-6025
Phone number: 503-231-2641
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Mailing Address
-- AARON JOHN LARSON CADC1
900 NE 149TH ST
VANCOUVER, WA 98685-1326
Phone number: 360-989-4425
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