IndividualActive
Joshua Larsen
NPI 1053199448 · Behavior Technician · Portland, OR
Provider details
- NPI number
- 1053199448
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6400 Se Lake Rd Ste 175
Portland, OR 97222-2137
Phone: (628) 250-7500
Approximate (ZIP-level) locationGet directions
Mailing address
2004 Sw Jefferson St Apt 504
Portland, OR 97201-6130
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.