Larson, Greta Katherine
Larson, Greta Katherine is an individual health care provider with primary practice located at 440 Nw Division St , Gresham OR 97030-5506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Larson, Greta Katherine can be contacted via phone (503) 215-9500.Contact Information
Primary practice address
440 Nw Division St
Gresham OR 97030-5506
Phone: (503) 215-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201391240NP-PP | Oregon |
Profile Details
| NPI number | 1619204583 |
|---|---|
| LBN Legal business name | Larson, Greta Katherine |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2009 |
| Last updated | Mar 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619204583 | NPPES |
| Oregon | MEDICAID | 500660728 |
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