Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACK NOLAN LARSON CCC-SLP
NPI 1760389753
Speech-Language Pathologist in University Place, WA

Active since October 22, 2026
2601 70TH AVE W STE F, UNIVERSITY PLACE, WA 98466(253) 212-3502 Get Directions Write a Review

NPPES record added: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jack Nolan Larson Ccc-slp NPPES

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

JACK NOLAN LARSON CCC-SLP (NPI 1760389753) is an individual speech-language pathologist provider in University Place, Washington, licensed in Washington (SLP.LL.70186292) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1760389753
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameJACK NOLAN LARSONCredential: CCC-SLP
Location Address2601 70TH AVE W STE FUniversity Place, WA 98466-5430
Mailing Address2601 70th Ave W Ste FUniversity Place, WA 98466-5430 · (253) 212-3502
Sole ProprietorNo
Enumeration DateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1760389753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WA · SLP.LL.70186292
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2601 70TH AVE W STE F, University Place, WA 98466

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 Jack Larson's NPI number?

The NPI number for Jack Larson is 1760389753. It was assigned to this individual provider in the NPPES registry on October 22, 2026.

Where is Jack Larson located?

Jack Larson practices at 2601 70th Ave W Ste F, University Place, WA 98466. The listed phone number is (253) 212-3502.

What is Jack Larson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jack Larson was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.