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Contact Information

JEFFREY J LARSON, PhD
18623 VASHON HWY SW
VASHON, WA98070-5211
 Phone: 206-463-6359
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JEFFREY J LARSON · (Male)

NPI # 1326179177
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/07/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • WA License # 1608
  • WA License # 3718
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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