Larry Stevens, is a
Case Manager/care Coordinator based in Vancouver, Washington. Larry Stevens is licensed to practice in Washington (license number CG60738009) and his current practice location is
1601 E Fourth Plain Blvd Bldg 17, Vancouver, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 397-8246.
NPI number for Larry Stevens is 1629482880 and his current mailing address is Po Box 8459, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629482880.
Healthcare Provider's Profile
| Full Name | Larry Stevens |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, Washington |
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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: 1629482880
- Provider Enumeration Date: 06/16/2014
- Last Update Date: 08/07/2023
Medical Identifiers
Medical identifiers for Larry Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629482880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | CG60738009 (Washington) | 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. Larry Stevens 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 |
|---|
Larry Stevens,
Po Box 8459,
Portland, OR 97207-8459
Ph: (503) 238-0769 | Larry Stevens,
1601 E Fourth Plain Blvd Bldg 17,
Vancouver, WA 98661-3717
Ph: (360) 397-8246 |
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