Provider Demographics
NPI:1609147230
Name:LARSON, SARAH ANN (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANN
Last Name:LARSON
Suffix:
Gender:
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 FRANKLIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-2860
Mailing Address - Country:US
Mailing Address - Phone:360-787-3515
Mailing Address - Fax:833-324-3373
Practice Address - Street 1:1409 FRANKLIN ST STE 103
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-2860
Practice Address - Country:US
Practice Address - Phone:360-787-3515
Practice Address - Fax:833-324-3373
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60596243175F00000X
AC60594799171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist