Individual
DR. KRISTA NICOLE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 NE KNOTT ST STE 4102, PORTLAND, OR 97212-3014
(305) 562-0588
(352) 265-1107
Mailing address
301 NE KNOTT ST, PORTLAND, OR 97212-3014
(503) 253-3910
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD200083
OR
Other
Enumeration date
03/31/2016
Last updated
01/13/2021
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