MR. KENNETH DALE LARSON


Address: 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823
Phone: 5035253949

MR. KENNETH DALE LARSON (NPI# 1487168977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487168977
Entity Type Individual
Full Name MR. KENNETH DALE LARSON
Credential COUNSELOR CIT
Practice Address 6601 Ne 78th Ct Ste A3
Portland
OR 97218-2823
Mailing Address 33565 Ruby Ln
Saint Helens
OR 97051-3622
Practice Telephone 5035253949
Mailing Telephone 5754425668
Enumeration Date 2017-11-21
Last Update Date 2017-11-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

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1689741795 Kenneth W. Larson Surgery 1900 S National Ave, Suite 1950, Springfield, MO 65804-2265 2006-11-30
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Office Location

Street Address 6601 NE 78TH CT STE A3
City PORTLAND
State OR
Zip Code 97218-2823

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174927115 Amber Walker Counselor 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 2014-10-20
1043820707 Maurice Golden Counselor 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 2020-08-06
1093323396 Jeremy Eckard Counselor 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 2020-07-22
1669093944 Elizabeth Hendrickson Licensed Practical Nurse 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 2020-04-28
1144841420 Andrea Nicolet Licensed Practical Nurse 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 2020-04-28
1801421789 Kala Mcmillan Counselor 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 2020-03-11
1902438187 Keelani Duffey Licensed Practical Nurse 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 2020-02-06
1528690716 Patricia Humphrey Licensed Practical Nurse 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 2020-02-06
1508400169 Nina Tran Registered Nurse 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 2019-11-06
1215570668 Alice Cortez Licensed Practical Nurse 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 2019-10-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043852726 Alex Margarito Specialist/Technologist 6801 Necornfoot Rd, Fpo, AA 97218 2019-10-14
1083101943 Joyce M Larkins Specialist 5852 Ne 42nd Ave., Portland, OR 97218 2018-04-17
1740709658 Alyssa M Cavalier Licensed Practical Nurse 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 2017-09-12
1093266405 Jean Hansen Counselor 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 2016-10-20
1174913636 Kirsten Kelly-chambers Counselor 4310 Ne Killinsworth Street, Portland, OR 97218 2015-02-04
1386962074 Kathleen Kuhlmey Sheridan Nurse Practitioner 5215 Ne 52nd Ave, Portland, OR 97218 2010-05-06
1003049909 Kevin Richardson Adult Companion 5029 Ne Killingsworth St, Portland, OR 97218 2009-08-26
1366676462 Bobbi Gabriele Kennedy Military Health Care Provider 6801 Ne Cornfoot Road, Portland, OR 97218 2009-05-05
1396980751 Jamie Mercile Taylor Counselor 4310 N.e Kilingsworth, Portland, OR 97218 2008-12-12
1902041460 Brandi Danielle Hess Counselor 4450 Ne 76th, Portland, OR 97218 2008-12-11
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477163657 Kevin Charles Reiser Counselor 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 2020-08-03
1881203628 Beau Curtiss Counselor 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 2020-07-28
1851916886 Jonathan Cross Counselor 49 Montrose Ave Apt 3, Portland, ME 04103-2442 2020-06-16
1639703960 Elizabeth Ann Anderson Counselor 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 2020-02-25
1194356618 Deforrest Kwesi Jackson Counselor 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 2020-02-03
1760012942 Jesse Decker Counselor 7015 N Boston Ave, Portland, OR 97217-5711 2020-01-16
1740829076 Ryan Christianson Counselor 2707 Ne Flanders St, Portland, OR 97232-3159 2020-01-03
1083264477 Kayla Rose Paris Counselor 420 Cumberland Ave, Portland, ME 04101-2823 2019-09-17
1275193260 Anna Khval Counselor 1500 Se 122nd Ave, Portland, OR 97233-1207 2019-06-20
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
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Competitor

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City PORTLAND
Zip Code 97218

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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