WALTER G. LARSEN M.D. NPI 1982670162

NPI Information

  • NPI: 1982670162
  • Provider Name: WALTER G. LARSEN, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 1414 NW NORTHRUP ST
    SUITE 600
    PORTLAND, OR
    ZIP 97209
  • Phone: (503) 223-3104

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NPI Details

Walter G. Larsen, M.D. is a specialist in Portland, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Walter G. Larsen, M.D. NPI is 1982670162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1414 NW NORTHRUP ST
SUITE 600
PORTLAND, OR
ZIP 97209-798
Phone: (503) 223-3104
Fax: (503) 223-4619

The enumeration date for this NPI number is 2/27/2006 and was last updated on 7/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistOR 6013OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C93111MEDICARE UPINOREGON
2100478MEDICARE ID-TYPE UNSPECIFIEDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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