David P Larson, MD | |
16043 Sw Waxwing Way, Beaverton, OR 97007-8362 | |
(503) 715-3414 | |
(503) 352-4775 |
Full Name | David P Larson |
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Gender | Male |
Speciality | Internal Medicine |
Location | 16043 Sw Waxwing Way, Beaverton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992798599 | NPI | - | NPPES |
500605904 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 34056 (Arizona) | Secondary |
207R00000X | Internal Medicine | MD29034 (Oregon) | Primary |
Entity Name | David P Larson, Md, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497306468 PECOS PAC ID: 5092149260 Enrollment ID: O20191220000942 |
Mailing Address | Practice Location Address |
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David P Larson, MD 6650 Sw Redwood Ln Ste 380, Portland, OR 97224-7169 Ph: (503) 715-3414 | David P Larson, MD 16043 Sw Waxwing Way, Beaverton, OR 97007-8362 Ph: (503) 715-3414 |
Amanda Andersen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-813-2000 | |
Dr. Naga Praneeth Raja, M.D., Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15700 Sw Greystone Ct, Beaverton, OR 97006 Phone: 971-262-9000 Fax: 971-262-9010 | |
Chad T Pfefer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1920 Nw Amberglen Pkwy, Ste 150, Beaverton, OR 97006 Phone: 971-327-4356 Fax: 971-327-4355 | |
Dr. Ian L. Barr, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 15455 Nw Greenbrier Pkwy, Suite 130, Beaverton, OR 97006 Phone: 503-629-5499 Fax: 503-645-8982 | |
Dr. Helen Lawrence Henry, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 14795 Sw Murray Scholls Dr Ste 121, Beaverton, OR 97007 Phone: 503-747-4936 Fax: 503-747-4939 | |
Dr. Edmund Howard Torkelson, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1960 Nw 167th Pl, Suite #204, Beaverton, OR 97006 Phone: 503-614-8735 Fax: 503-614-8749 | |
Jennifer Lynn Urquhart, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-520-4876 |