Individual
DR. GREG CHRISTIAN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, CARDIOLOGY SECTION, P-3-CARD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
PO BOX 1034, PORTLAND VA MEDICAL CENTER, P-3-CARD, PORTLAND, OR 97207-1034
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
14496
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145359
—
OR
Enumeration date
06/30/2006
Last updated
07/10/2007
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