Individual
LARRY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25919 HIGHWAY 36, CHESHIRE, OR 97419-9745
(541) 870-1151
Mailing address
25919 HIGHWAY 36, CHESHIRE, OR 97419-9745
(541) 870-1151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD21360
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227624
—
OR
Enumeration date
09/22/2006
Last updated
04/28/2015
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