Larson, David P

Larson, David P is an sole proprietor health care provider with primary practice located at 16043 Sw Waxwing Way , Beaverton OR 97007-8362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Larson, David P can be contacted via phone (503) 715-3414.

Contact Information

Primary practice address
16043 Sw Waxwing Way Beaverton OR 97007-8362
Phone: (503) 715-3414
Fax: (503) 352-4775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34056 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD29034 Oregon

Profile Details

NPI number 1992798599
LBN Legal business name Larson, David P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Aug 5th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992798599 NPPES
Oregon MEDICAID 500605904

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