Organization
LARSEN GASTROENTEROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARIE HASTINGS (OFFICE MANAGER)
(509) 758-2200
Entity
Organization
Contact information
Practice address
625 6TH ST, CLARKSTON, WA 99403-2010
(509) 758-2200
Mailing address
625 6TH ST, CLARKSTON, WA 99403-2010
(509) 758-2200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD 00029346
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0027334
—
ID
05
—
2039081
—
WA
Enumeration date
03/26/2014
Last updated
01/09/2024
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