Roger K Larson Md Ps

LBN: Roger K Larson Md Ps
Roger K Larson Md Ps is an health care organization with primary practice located at 14212 Ambaum Blvd Sw Suite 201, Burien WA 98166-1449. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Roger K Larson Md Ps can be contacted via phone (206) 244-5477, or through Larson, Roger K via phone (206) 244-5477.

Contact Information

Primary practice address
14212 Ambaum Blvd Sw Suite 201 Burien WA 98166-1449
Phone: (206) 244-5477
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Larson, Roger K Doctor of Medicine (MD)
Phone: (206) 244-5477

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00007073 Washington

Profile Details

NPI number 1093708422
LBN Legal business name Roger K Larson Md Ps
DBA Doing business as
Authorized official Larson, Roger K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2005
Last updated Sep 19th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093708422 NPPES
Washington Other 011899328 RR MEDICARE
Washington MEDICAID 7132384 RR MEDICARE

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