MR. JOHN BRYON LARSEN B.S. - NPI 1790924264

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Mr. John Bryon Larsen B.s. NPPES

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

MR. JOHN BRYON LARSEN B.S. (NPI 1790924264) is an individual mental health provider in Toledo, Oregon and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1790924264

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JOHN BRYON LARSENCredential: B.S.

Location Address805 NE RESERVOIR LNToledo, OR 97391-1335

Mailing Address805 Ne Reservoir LnToledo, OR 97391-1335 · (541) 336-2254 · Fax (541) 336-1803

Phone(541) 336-2254

Fax(541) 336-1803

Sole ProprietorNo

Enumeration DateFebruary 6, 2009

✔ NPI 1790924264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

805 NE RESERVOIR LN, Toledo, OR 97391

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Other Identifiers 1

Other93-0698327OR · Private Nonprofit

Other Providers at the Same Location NPPES 8

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

MRS. ZANN MARIE JOHNSON QMHA

Contractor