| 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 |
|---|---|
| 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20061104000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Timothy Larsen, MD 620 Nw 11th St Ste M103, Hermiston, OR 97838-6941 Ph: (541) 667-3797 | Dr Brian Timothy Larsen, MD 620 Nw 11th St Ste M103, Hermiston, OR 97838-6941 Ph: (541) 567-5305 |
Kent William Blakely, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 Nw 11th St, Hermiston, OR 97838 Phone: 541-667-3887 Fax: 458-219-3129 |
Joyce Michelle Koh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Nw 11th St Ste M206, Hermiston, OR 97838 Phone: 541-667-3804 Fax: 541-667-0192 |
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 |
Robert A Wohlman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Nw 11th St Ste M206, Hermiston, OR 97838 Phone: 541-667-3804 Fax: 541-667-0192 |
Dr. David Andrew Stenstrom, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 Nw 11th St, Hermiston, OR 97838 Phone: 541-667-3680 |
Dr. Courtney Rae Virgilio, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Nw 11th St Ste M201, Hermiston, OR 97838 Phone: 541-667-3771 Fax: 541-303-8457 |
Barbara L Atwood, MD LLC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Nw 11th St Ste M103, Hermiston, OR 97838 Phone: 541-667-3797 Fax: 541-303-8767 |