NPI 1669298956
Matthew Larson
Practice location
- Address
- 6840 Highway 66, Ashland, OR 97520-9774
- Phone
- (541) 708-1194
- Mailing address
- 1467 Siskiyou Blvd # 191, Ashland, OR 97520-2336
Registered specialties
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
Registry record
- NPI
- 1669298956
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Dec 2024
- Record last updated
- 2 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.