Jasper, Larry Edwin Raymond

Jasper, Larry Edwin Raymond is an sole proprietor health care provider with primary practice located at 22566 Sw Washington St Ste 202 , Sherwood OR 97140-7923. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jasper, Larry Edwin Raymond can be contacted via phone (503) 752-0213.

Contact Information

Primary practice address
22566 Sw Washington St Ste 202 Sherwood OR 97140-7923
Phone: (503) 752-0213
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3164 Oregon

Profile Details

NPI number 1710577424
LBN Legal business name Jasper, Larry Edwin Raymond
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2021
Last updated Jan 26th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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