Larson, Julie Michelle

Larson, Julie Michelle is an individual health care provider with primary practice located at 12550 Se 93Rd Ave Ste 265, Clackamas OR 97015-9786. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Larson, Julie Michelle can be contacted via phone (503) 659-9155.

Contact Information

Primary practice address
12550 Se 93Rd Ave Ste 265 Clackamas OR 97015-9786
Phone: (503) 659-9155
Fax: (503) 659-7336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4769 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA00746800 Massachusetts

Profile Details

NPI number 1720058530
LBN Legal business name Larson, Julie Michelle
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated May 15th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720058530 NPPES
Oregon MEDICAID 269615

Popular Providers