Larissa Vanderwall

NPI 1043854110 · on the registry since 2019

Practice

Address: 7105 Sw Hampton St
Tigard, OR 97223
Phone: (503) 684-9274
Organisation at this address: Kaiser Permanente
Permanente Dental Associates, Pc
Kaiser Foundation Health Plan Of The Northwest
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 46

Registry record

Primary taxonomy: Dental Assistant
126800000X
Sex: Female
Record last updated: 2019-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon