Dr Brian Timothy Larsen, MD | |
620 Nw 11th St Ste M103, Hermiston, OR 97838-6941 | |
(541) 567-5305 | |
(541) 303-8767 |
Full Name | Dr Brian Timothy Larsen |
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Gender | Male |
Speciality | Internal Medicine |
Location | 620 Nw 11th St Ste M103, Hermiston, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366768533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD165374 (Oregon) | Primary |
Entity Name | Good Shepherd Health Care System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
Mailing Address | Practice Location Address |
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Dr Brian Timothy Larsen, MD 620 Nw 11th St Ste M103, Hermiston, OR 97838-6941 Ph: (541) 567-5305 | Dr Brian Timothy Larsen, MD 620 Nw 11th St Ste M103, Hermiston, OR 97838-6941 Ph: (541) 567-5305 |
Christopher J Lundquist, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1050 W Elm Ave Ste 110, Hermiston, OR 97838 Phone: 541-567-2995 Fax: 541-567-7720 | |
Dr. Content Elizabeth Anderson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 589 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-1717 Fax: 541-564-5994 | |
Edward A Ricketts, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 Nw 11th St, Suite109, Hermiston, OR 97838 Phone: 541-567-5075 | |
Dr. Courtney Rae Virgilio, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Nw 11th St Ste E23, Hermiston, OR 97838 Phone: 541-667-3771 Fax: 541-303-8457 | |
Dr. Bradley Tymchuk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Nw 11th St Ste M103, Hermiston, OR 97838 Phone: 541-567-5305 Fax: 541-303-8767 | |
Benjamin Booher, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 645 W Orchard Ave, Hermiston, OR 97838 Phone: 541-289-4555 Fax: 541-289-4556 |