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Search › Oregon › 163WP0809X

Tisha Larsen

NPI 1578954855 · on the registry since 2015

Practice

Address
621 W Madrone St
Roseburg, OR 97470
Phone
(541) 440-3500
Fax
(541) 957-3003
Organisation at this address
Adapt
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County Of Douglas
Inferred from a shared address, not stated in the registry.
Clinicians at this address
306

Registry record

Primary taxonomy
163WP0809X
163WP0809X
Also registered as
363LF0000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-12

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