Larson, Jaime
Larson, Jaime is an sole proprietor health care provider with primary practice located at 12555 Sw 3Rd St , Beaverton OR 97005-0517. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Larson, Jaime can be contacted via phone (503) 928-4275.Contact Information
Primary practice address
12555 Sw 3Rd St
Beaverton OR 97005-0517
Phone: (503) 928-4275
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2625 | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2625 | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 25759 | California |
Profile Details
| NPI number | 1023496635 |
|---|---|
| LBN Legal business name | Larson, Jaime |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2015 |
| Last updated | Apr 23rd, 2021 - about 3 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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