| Larsen Sanchez Psychology, Llc | |
|
905 Se 14th Ave Portland OR 97214-2569 | |
| (503) 622-8964 | |
| Not Available |
| Full Name | Larsen Sanchez Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 905 Se 14th Ave, Portland, Oregon |
| Authorized Official Name and Position | Brad Larsen (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5037155468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larsen Sanchez Psychology, Llc 905 Se 14th Ave Portland OR 97214-2569 Ph: (503) 715-5468 | Larsen Sanchez Psychology, Llc 905 Se 14th Ave Portland OR 97214-2569 Ph: (503) 622-8964 |
| NPI Number | 1588041388 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 11/05/2023 |
| Certification Date | 11/05/2023 |
| Medicare PECOS PAC ID | 6608138383 |
|---|---|
| Medicare Enrollment ID | O20180315002490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588041388 | NPI | - | NPPES |
| Provider Name | Rebecca M Berman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083047385 PECOS PAC ID: 7810121696 Enrollment ID: I20131010000165 |
| Provider Name | Brad W Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679723845 PECOS PAC ID: 0648491191 Enrollment ID: I20141024002196 |
| Provider Name | Adrian Larsen Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902144777 PECOS PAC ID: 0143582825 Enrollment ID: I20180323000790 |
| Provider Name | Amy L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427161587 PECOS PAC ID: 7911904214 Enrollment ID: I20190920001670 |
| Provider Name | Irina Gelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437413317 PECOS PAC ID: 5698186138 Enrollment ID: I20201204001156 |
| Provider Name | Ofelio Resendiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124571609 PECOS PAC ID: 6709237282 Enrollment ID: I20240109002831 |
| Provider Name | John Auerbach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821617267 PECOS PAC ID: 3678924164 Enrollment ID: I20240109003001 |
| Provider Name | Del Knight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801320726 PECOS PAC ID: 6204287725 Enrollment ID: I20240109004401 |
| Provider Name | Natalie Goldfarb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730748187 PECOS PAC ID: 3072964303 Enrollment ID: I20240110004157 |
| Provider Name | Anna Stepanova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538617071 PECOS PAC ID: 7517300205 Enrollment ID: I20240209001559 |
| Provider Name | Laurel Fuson-lang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700268067 PECOS PAC ID: 5698118289 Enrollment ID: I20240212000313 |
| Provider Name | Elena Wadsworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083353106 PECOS PAC ID: 7911341334 Enrollment ID: I20240213004569 |
| Provider Name | Eric Rose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922428564 PECOS PAC ID: 8921442153 Enrollment ID: I20240215003201 |
| Provider Name | Kimberly Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831333434 PECOS PAC ID: 1153765383 Enrollment ID: I20240215003383 |
| Provider Name | Steffani Kizziar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437688553 PECOS PAC ID: 8527401397 Enrollment ID: I20240409002046 |
| Provider Name | Johnni Cansler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144709403 PECOS PAC ID: 6204263015 Enrollment ID: I20240903001019 |
| Provider Name | Mark I Reck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063155513 PECOS PAC ID: 4688017452 Enrollment ID: I20240904004652 |
| Provider Name | Leonard Kaufman |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1972717775 PECOS PAC ID: 3274073051 Enrollment ID: I20240906003303 |
| Provider Name | Carina Mariscal Diaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235513847 PECOS PAC ID: 4981055415 Enrollment ID: I20240918004757 |
| Provider Name | Katherine Kusmaul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518627645 PECOS PAC ID: 5092256701 Enrollment ID: I20240923000222 |
| Provider Name | Jennifer Wimmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225324700 PECOS PAC ID: 7719418953 Enrollment ID: I20240930001395 |
| Provider Name | Jon Frew |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073556742 PECOS PAC ID: 9335191584 Enrollment ID: I20241001000208 |
| Provider Name | Hannah Westbrock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043888365 PECOS PAC ID: 3072044098 Enrollment ID: I20241002000160 |
| Provider Name | Kelsey Burnham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578993887 PECOS PAC ID: 8527590868 Enrollment ID: I20241011002117 |
| Provider Name | Emily Winslow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659774297 PECOS PAC ID: 2769914431 Enrollment ID: I20241018002274 |
| Provider Name | Sean Eubanks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124685094 PECOS PAC ID: 8123549615 Enrollment ID: I20250313001134 |
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