Individual
SOPHIA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-4333
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD203175
OR
Other
Enumeration date
05/12/2015
Last updated
10/08/2021
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