Larry Edwin Raymond Jasper, PSYD

NPI #1710577424 in Sherwood, Oregon

Provider Information

NPI Number: 1710577424
Entity Type: Individual
Name: Larry Edwin Raymond Jasper, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Jan 26, 2021
Last Updated: Jan 26, 2021

Practice Location

Address: 22566 SW WASHINGTON ST STE 202
City: Sherwood
State: Oregon
ZIP Code: 97140-7923
Phone: (503) 752-0213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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