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LARISSA LARA
NPI 1295575454
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR

Active since May 27, 2024
3415 SE POWELL BLVD, PORTLAND, OR 97202(888) 295-6996 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larissa Lara NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARISSA LARA (NPI 1295575454) is an individual mental health (including community mental health center) provider in Portland, Oregon and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1295575454
Entity TypeIndividual
Primary Taxonomy261QM0801X
Provider Legal NameLARISSA LARA
Location Address3415 SE POWELL BLVDPortland, OR 97202-3371
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371
Phone(888) 295-6996
Sole ProprietorYes
Enumeration DateMay 27, 2024
NPPES CertifiedMay 27, 2024
✔ NPI 1295575454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3415 SE POWELL BLVD, Portland, OR 97202
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY HETLAGE MSW
Social Worker
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
CHELSEA YOUNG
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
HALLIE RISWOLD
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (541) 757-1852
MICAELA BUSACK
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
DANIEL TRACHUK
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
MATTHEW PAUL SIMONSON
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
ELSA CHRISTINA SPAULDING
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
PETAL GRIFFITH BS
Counselor (School)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 205-4334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larissa Lara's NPI number?

The NPI number for Larissa Lara is 1295575454. It was assigned to this individual provider in the NPPES registry on May 27, 2024.

Where is Larissa Lara located?

Larissa Lara practices at 3415 SE Powell Blvd, Portland, OR 97202. The listed phone number is (888) 295-6996.

What is Larissa Lara's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Larissa Lara was last updated on May 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.