| Dr Ronald K Larson, MD | |
|
10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | |
| (503) 513-8350 | |
| Not Available |
| Full Name | Dr Ronald K Larson |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 10150 Se 32nd Ave, Milwaukie, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508897422 | NPI | - | NPPES |
| MD15506 | Other | OR | STATE LICENSE |
| 063180 | Medicaid | OR | |
| R0000WCTBS | Other | OR | NOVA 'GROUP' MEDICARE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0904X | Radiology - Nuclear Radiology | MD15506 (Oregon) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD15506 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ronald K Larson, MD Po Box 2739, Oregon City, OR 97045-0221 Ph: (503) 656-0315 | Dr Ronald K Larson, MD 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 Ph: (503) 513-8350 |
James E Stark, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8300 | |
Michael Ming-yin Chan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8300 |