Individual
DR. DAVID LARSON DEMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 NW 22ND AVE, PORTLAND, OR 97210-3057
(503) 413-8498
Mailing address
1040 NW 22ND AVE, PORTLAND, OR 97210-3057
(503) 413-8498
Taxonomy
Speciality
Code
Description
License number
State
207WX0120X
Cornea and External Diseases Specialist Physician
01081680A
IN
207WX0120X
Cornea and External Diseases Specialist Physician
10215714-8905
UT
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
15521
ND
Other
Enumeration date
03/11/2013
Last updated
05/02/2019
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