WILLIAM DAVID LARSON (NPI# 1083697635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083697635 |
| Entity Type | Individual |
| Full Name | WILLIAM DAVID LARSON |
| Other Name | W DAVID LARSON |
| Credential | MD |
| Practice Address |
19250 Sw 65th Ave Ste 215 Tualatin OR 97062-7452 |
| Mailing Address |
6420 Sw Macadam Ave Suite 216 Portland OR 97239-3507 |
| Practice Telephone | 5036923630 |
| Practice Fax Number | 5036923420 |
| Mailing Telephone | 5032448601 |
| Mailing Fax Number | 5032443013 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2013-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD10715 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RAILROAD MEDICARE | 180002095 | 01 |
| OR | 060087 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952555922 | William David Larson | Military Health Care Provider | 350 South Crag Rd., Panama City, FL 32407-7013 | 2008-11-04 |
| 1831301183 | William Evert Larson | Dentist | 3755 Murphy Canyon Rd, Suite D, San Diego, CA 92123-4412 | 2007-05-07 |
| 1558586875 | William M. Larson | Pediatrics | 7227 Bern St, Anchorage, AK 99507-2731 | 2007-04-13 |
| 1942362892 | William Keat Larson | Dentist | 211 South 5th Street, Moorhead, MN 56560 | 2006-12-15 |
| 1164519625 | William Kim Larson | Dentist | 122 Colfax Ave Sw, Wadena, MN 56482-1470 | 2006-10-06 |
| 1568427359 | William Glenn Larson | Physical Therapist | 1510 Lakeshore Drive, Hot Springs, AR 71913 | 2006-04-18 |
| 1932517844 | William Larson | Pharmacist | 1221 W Lake St Ste 201, Minneapolis, MN 55408-3565 | 2014-07-24 |
| 1205162872 | William Alan Larson | Physical Therapist | 3580 W 9000 S, C/o Jordan Valley Medical Center, West Jordan, UT 84088-8812 | 2009-11-02 |
| 1467685156 | William Larson | Counselor | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2009-08-27 |
| 1154449320 | William R. Larson | Dentist | 928 E 100 S, #a, Salt Lake City, UT 84102-1455 | 2007-03-27 |
| Street Address |
19250 SW 65TH AVE STE 215 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100526 | Meridian Family Care, LLC | Family Medicine | 19250 Sw 65th Ave, Ste 265, Tualatin, OR 97062-7452 | 2005-08-03 |
| 1285168872 | Radiation Oncology Specialists PC | Clinic/Center | 19250 Sw 65th Ave, Suite 220, Tualatin, OR 97062-7452 | 2017-04-20 |
| 1750834545 | Jane Elizabeth Adkins Nath | Advanced Practice Midwife | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2016-07-27 |
| 1356717359 | Dana Jones Ulrich | Nurse Practitioner | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2015-08-13 |
| 1952791501 | Lauren Metzger | Social Worker | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2015-02-03 |
| 1346682390 | Dorothy Nell Knapp | Psychologist | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2013-07-18 |
| 1841639887 | Marisa Rose Bryman | Advanced Practice Midwife | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2013-06-24 |
| 1548555451 | Brenda C. Brewer | Nurse Practitioner | 19250 Sw 65th Ave, Tualatin, OR 97062-7452 | 2011-06-20 |
| 1346536299 | Adam N Glaser | Internal Medicine | 19250 Sw 65th Ave, Suite 110, Tualatin, OR 97062-7452 | 2011-06-20 |
| 1689967994 | Marceea Genea Hanlin | Physical Therapist | 19250 Sw 65th Ave, Medical Plaza #1, Suite 125, Tualatin, OR 97062-7452 | 2011-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073718276 | Lorinna H Lombardi | Ophthalmology | 19250 Sw 65th Ave Ste 215, Tualatin, OR 97062-7707 | 2007-06-18 |
| 1992940613 | Dinelli Monson | Ophthalmology | 19250 Sw 65th Ave, Suite 215, Tualatin, OR 97062-7452 | 2008-12-09 |
| 1588650279 | Grant R Lindquist | Ophthalmology | 19250 Sw 65th Ave, Suite 215, Tualatin, OR 97062-7452 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1003357831 | Sungjae Yang | Ophthalmology | 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239-3098 | 2017-03-13 |
| 1538522669 | Priscilla Quynh-phuong Vu | Ophthalmology | 515 Sw Campus Dr, Portland, OR 97239-3130 | 2016-04-05 |
| 1922483130 | Bradley Seely Md PC | Ophthalmology | 341 Nw Medical Loop Ste 120, Roseburg, OR 97471-5546 | 2015-07-29 |
| 1821472960 | Complete Eye Care, Inc. | Ophthalmology | 500 Nw 20th St Ste 100, Gresham, OR 97030-2442 | 2015-07-18 |
| 1598184525 | Steven Tersigni | Ophthalmology | 66602 Swallow Rd, North Bend, OR 97459-8277 | 2014-04-07 |
| 1750703575 | Oregon Retina, LLP | Ophthalmology | 94225 E. 4th St., Gold Beach, OR 97444 | 2014-01-14 |
| 1962824821 | Oregon Retina, LLP | Ophthalmology | 1095 Alabama Street, Bandon, OR 97411 | 2014-01-13 |
| 1962824060 | Oregon Retina, LLP | Ophthalmology | 855 W Central Blvd, Coquille, OR 97423-1095 | 2014-01-09 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.