Peizer, Larissa

Peizer, Larissa is an individual health care provider with primary practice located at 5200 Sw Macadam Ave , Portland OR 97239-6103. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Peizer, Larissa can be contacted via phone (503) 224-1998.

Contact Information

Primary practice address
5200 Sw Macadam Ave Portland OR 97239-6103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 16096 Oregon

Profile Details

NPI number 1558889329
LBN Legal business name Peizer, Larissa
Credentials M.Z., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2017
Last updated Aug 31st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558889329 NPPES
Oregon Other 16096 BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
Oregon Other 14131465 BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY

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