Provider Demographics
NPI:1447123419
Name:LARKIN, ASHLEY MORGAN
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MORGAN
Last Name:LARKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3961 NE 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-1206
Mailing Address - Country:US
Mailing Address - Phone:360-977-3798
Mailing Address - Fax:
Practice Address - Street 1:12306 SE MILL PLAIN BLVD STE 250
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-6072
Practice Address - Country:US
Practice Address - Phone:360-977-3798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR11372101YM0800X
WAMHCA.MC.61660510101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health