ISAAC LARSON, RC1

Adult Companion

Active Individual
NPI: 1144368655

Practice Address

5023 NE KILLINGSWORTH ST
Portland, OR 97218

Phone: (503) 402-8117

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No -
Adult Companion 372600000X Yes -

Frequently Asked Questions

NPI 1144368655 is the National Provider Identifier for ISAAC LARSON, RC1, a Adult Companion provider located in Portland, OR. This NPI was enumerated on February 5, 2007.
ISAAC LARSON, RC1 practices at 5023 NE KILLINGSWORTH ST, Portland, OR 97218.

Quick Facts

NPI
1144368655
Type
Individual
Enumerated
Feb 5, 2007
Last Updated
Sep 11, 2025

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