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Search › Oregon › 101YM0800X

Larston Petticord, MS, LPC

NPI 1871889261 · on the registry since 2011 · sole proprietor

Practice

Address
3419 Ne Sandy Blvd
Portland, OR 97232
Phone
(503) 914-6199
Organisation at this address
Theresa J Page
Resolve Therapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2019-10-02

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