| Dr Jennifer L Larson, MD | |
|
16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015-6302 | |
| (503) 582-4900 | |
| Not Available |
| Full Name | Dr Jennifer L Larson |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 16180 Se Sunnyside Rd Ste 102, Happy Valley, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679512347 | NPI | - | NPPES |
| 273851 | Medicaid | OR | |
| 865374000 | Other | BCBS OF OR | |
| 8940758 | Other | WA CRIME VICTIMS | |
| 0205695 | Other | WA L & I | |
| P00276313 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD25904 (Oregon) | Primary |
| Entity Name | Northwest Medical Foundation Of Tillamook |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676 |
| Entity Name | Mid-columbia Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255429338 PECOS PAC ID: 7315856010 Enrollment ID: O20061104000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer L Larson, MD 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015-6302 Ph: () - | Dr Jennifer L Larson, MD 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015-6302 Ph: (503) 582-4900 |
Kevin E Nufer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 16126 Se Happy Valley Town Center Dr, Happy Valley, OR 97086 Phone: 503-658-1777 |