IndividualActive
Brad Larsen, PSYD
NPI 1679723845 · Psychologist · Portland, OR
Provider details
- NPI number
- 1679723845
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2269 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
3050 Se Division St Ste 215
Portland, OR 97202-1451
Phone: (503) 715-5468
Fax: (503) 715-5469
Approximate (ZIP-level) locationGet directions
Mailing address
3050 Se Division St Ste 215
Portland, OR 97202-1451
Registry dates
- Enumerated
- 2008-09-24
- Last updated
- 2023-07-12
- Certified
- 2023-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.