Individual
BJORN E LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
(253) 596-3301
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
(253) 596-3301
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004280
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8466583
—
WA
Enumeration date
12/27/2006
Last updated
04/26/2021
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