Individual
BRIAN DAVID LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
7435 SW ALPINE DR, BEAVERTON, OR 97008-8820
(503) 484-7769
Mailing address
7435 SW ALPINE DR, BEAVERTON, OR 97008-8820
(503) 484-7769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200141035RN
OR
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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