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Search › Oregon › 390200000X

Larissa Hackett

NPI 1811642994 · on the registry since 2022

Practice

Address
87520 Bay Rd
Christmas Valley, OR 97641
Phone
(541) 947-6021
Fax
(541) 576-3000
Organisation at this address
Pat Widenoja Fnp
North Lake Clinic Llc
North Lake Clinic, Llc
Central Cascades Physical Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Female
Record last updated
2022-02-16

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