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ROGER K LARSON MD PS NPI 1093708422


NPI Information

NPI: 1093708422
Provider Name: ROGER K LARSON MD PS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
14212 AMBAUM BLVD SW
SUITE 201
BURIEN, WA
ZIP 98166
Phone: (206) 244-5477
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ROGER K LARSON MD PS is a family medicine in Burien, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROGER K LARSON MD PS NPI is 1093708422. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14212 AMBAUM BLVD SW
SUITE 201
BURIEN, WA
ZIP 98166-449
Phone: (206) 244-5477

The provider's authorized official is Roger K Larson .
The authorized official title is Authorized Official and has the following contact phone number (206) 244-5477.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 9/19/2011.


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
1207Q00000XFamily MedicineMD00007073WASHINGTONYes

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
1011899328OTHERWASHINGTONRR MEDICARE
2A04970MEDICARE UPIN
3G8854353MEDICARE PINWASHINGTON
47132384MEDICAIDWASHINGTON

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: 5/5/2024

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