Isaac L Larson, RC1 is a
Adult Companion based in Portland, Oregon. Isaac L Larson is licensed to practice in * (Not Available) (license number ) and his current practice location is
5023 Ne Killingsworth St, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 402-8117.
NPI number for Isaac L Larson is 1144368655 and his current mailing address is 605 Sw Bonita Rd, Apt# K108, Lake Oswego, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144368655.
Healthcare Provider's Profile
| Full Name | Isaac L Larson |
|---|
| Gender | Male |
|---|
| Speciality | Adult Companion |
|---|
| Location | 5023 Ne Killingsworth St, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144368655
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Isaac L Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144368655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (Oregon) | Primary |
| 372600000X | Adult Companion | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Isaac L Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Isaac L Larson, RC1
605 Sw Bonita Rd, Apt# K108,
Lake Oswego, OR 97035
Ph: (971) 285-2673 | Isaac L Larson, RC1
5023 Ne Killingsworth St,
Portland, OR 97218-1915
Ph: (503) 402-8117 |
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