Individual
DR. JENNIFER L LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16180 SE SUNNYSIDE RD STE 102, HAPPY VALLEY, OR 97015-6302
(503) 582-4900
Mailing address
16180 SE SUNNYSIDE RD STE 102, HAPPY VALLEY, OR 97015-6302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD25904
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205695
WA L & I
—
05
—
273851
—
OR
01
—
865374000
BCBS OF OR
—
01
—
8940758
WA CRIME VICTIMS
—
01
—
P00276313
RAILROAD MEDICARE
—
Enumeration date
06/06/2006
Last updated
11/25/2025
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