Tisha Marie Larsen is a psychiatric/mental health and adult registered nurse in Roseburg, OR. Tisha Marie Larsen NPI is 1578954855. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
621 W MADRONE ST
ROSEBURG, OR
ZIP 97470-090
Phone: (541) 440-3500
Fax: (541) 957-3003
The NPI 1578954855 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/9/2015 and was last updated on 10/12/2021.