Individual
DR. AMY JEANNETTE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2930 BUSH MOUNTAIN CT SW, TUMWATER, WA 98512-6731
(360) 352-7856
Mailing address
18702 N CREEK PKWY, SUITE 212, BOTHELL, WA 98011-8019
(425) 486-8868
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00039071
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD00039071
WA
207RC0000X
Cardiovascular Disease Physician
MD00039071
WA
Other
Enumeration date
01/29/2007
Last updated
07/09/2019
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