Individual
DAVID P LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16043 SW WAXWING WAY, BEAVERTON, OR 97007-8362
(503) 715-3414
(503) 352-4775
Mailing address
6650 SW REDWOOD LN STE 380, PORTLAND, OR 97224-7169
(503) 715-3414
(503) 352-4775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34056
AZ
207R00000X
Internal Medicine Physician
Primary
MD29034
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500605904
—
OR
Enumeration date
08/30/2005
Last updated
08/05/2021
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