DR. LARRY WEI MAK M.D. NPI 1093925380

NPI Information

  • NPI: 1093925380
  • Provider Name: DR. LARRY WEI MAK, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4925 N ALBINA AVE
    PORTLAND, OR
    ZIP 97217
  • Phone: (503) 548-4922

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NPI Details

DR. Larry Wei Mak, M.D. is a child and adolescent psychiatry psychiatry neurology in Portland, OR. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Larry Wei Mak, M.D. NPI is 1093925380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4925 N ALBINA AVE
PORTLAND, OR
ZIP 97217-609
Phone: (503) 548-4922
Fax: (503) 459-4495

The NPI 1093925380 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 9/6/2013.

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
12084P0800XPsychiatry & NeurologyPsychiatryMD152505OREGONNo
2207R00000XInternal MedicineMD152505OREGONNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMD152505OREGONYes

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: 11/21/2025

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