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JONATHAN MYCHAL LARSON
NPI 1619174117
Counselor - Mental Health in Portland, OR

Active since June 28, 2007
3415 SE POWELL BLVD, PORTLAND, OR 97202(503) 234-9591(503) 205-3552 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Mychal Larson NPPES

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

JONATHAN MYCHAL LARSON (NPI 1619174117) is an individual mental health provider in Portland, Oregon and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1619174117
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN MYCHAL LARSON
Location Address3415 SE POWELL BLVDPortland, OR 97202-3371
Mailing Address2945 Se Steele St Apt 108Portland, OR 97202-4545 · (541) 490-5382
Phone(503) 234-9591
Fax(503) 205-3552
Sole ProprietorNo
Enumeration DateJune 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619174117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
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 Jonathan Larson's NPI number?

The NPI number for Jonathan Larson is 1619174117. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Jonathan Larson located?

Jonathan Larson practices at 3415 SE Powell Blvd, Portland, OR 97202. The listed phone number is (503) 234-9591.

What is Jonathan Larson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jonathan Larson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.