Larson, Andrea
Larson, Andrea is an individual health care provider with primary practice located at 335 Fairview St , Silverton OR 97381-1916. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Larson, Andrea can be contacted via phone (503) 873-8686.Contact Information
Primary practice address
335 Fairview St
Silverton OR 97381-1916
Phone: (503) 873-8686
Fax: (503) 873-8689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD17801 | Oregon |
Profile Details
| NPI number | 1417970021 |
|---|---|
| LBN Legal business name | Larson, Andrea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417970021 | NPPES |
| Oregon | MEDICAID | 045158 |
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