JERRY LARSEN (NPI# 1225283377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225283377 |
| Entity Type | Individual |
| Full Name | JERRY LARSEN |
| Credential | DMD |
| Practice Address |
2824 Ne Wasco St Suite #230 Portland OR 97232-1772 |
| Practice Telephone | 5032845678 |
| Practice Fax Number | 5032845556 |
| Mailing Telephone | 5032845678 |
| Mailing Fax Number | 5032845556 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D3668 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861546673 | Jerry K Larsen | Psychiatry & Neurology | 610 Jefferson St, Willamette Valley Family Center, Oregon City, OR 97045 | 2007-01-22 |
| Street Address |
2824 NE WASCO ST SUITE #230 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-1772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156734 | Noel Vee Larsen | Dentist | 2824 Ne Wasco St, Portland, OR 97232-1772 | 2005-06-30 |
| 1205184462 | Theodore Rask | Dentist | 2824 Ne Wasco St, Suite 210, Portland, OR 97232-1772 | 2012-08-20 |
| 1063774784 | Laurissa Champion Dmd LLC | Dentist | 2824 Ne Wasco St, Suite 230, Portland, OR 97232-1772 | 2012-06-08 |
| 1720240427 | Pediatric Dentistry, Rc | Dentist | 2824 Ne Wasco St, Suite 230, Portland, OR 97232-1772 | 2008-06-25 |
| 1225204670 | Deirdre Froehlich Dmd LLC | Clinic/Center | 2824 Ne Wasco St, Suite 200, Portland, OR 97232-1772 | 2008-05-06 |
| 1346449931 | Andrea Nicole Beltzner | Dentist | 2824 Ne Wasco St, Suite 230, Portland, OR 97232-1772 | 2007-07-13 |
| 1043422942 | Michael Gregory Page | Dentist | 2824 Ne Wasco St, Suite 230, Portland, OR 97232-1772 | 2007-05-04 |
| 1609091594 | Lorin W. Rice | Dentist | 2824 Ne Wasco St, Suite 210, Portland, OR 97232-1772 | 2007-04-16 |
| 1851516827 | Reed T. Hall | Dentist | 2824 Ne Wasco St, Suite 210, Portland, OR 97232-1772 | 2007-04-16 |
| 1518046564 | Laurelwood Dental LLC | Dentist | 2824 Ne Wasco St, Suite 210, Portland, OR 97232-1772 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366064 | Felipe Gregorio Flores | Dentist | 107 Shorecliff Dr, Portland, TX 78374-1459 | 2020-11-02 |
| 1972117588 | Medical Teams International | Dentist | 14150 Sw Milton Ct, Portland, OR 97224-8024 | 2020-09-01 |
| 1255975561 | Michigan Sleep Solutions LLC | Dentist | 8037 Abbey Rd., Portland, MI 48875-9774 | 2019-10-30 |
| 1073162699 | Ryan Douglas Mccormick | Dentist | 3620 Se Powell Blvd Ste 200, Portland, OR 97202-1880 | 2019-09-06 |
| 1255989497 | Owen Ritter Lund | Dentist | 4224 Ne Halsey St Ste 330, Portland, OR 97213-1568 | 2019-08-30 |
| 1023663119 | Xiaochen Zhou | Dentist | 2824 Ne Wasco St Ste 200, Portland, OR 97232-1772 | 2019-08-06 |
| 1598223919 | Portland Modern Dentistry | Dentist | 5175 Ne Martin Luther King Blvd Ste 110, Portland, OR 97211-3233 | 2019-03-05 |
| 1922571942 | Rashmi, LLC | Dentist | 553 Portland Cobalt Rd Unit 1, Portland, CT 06480-1968 | 2019-01-03 |
| 1053891051 | Waleed Almulla | Dentist | 8401 Ne Halsey St Ste 102, Portland, OR 97220-5670 | 2018-08-19 |
| 1558848333 | Kelsey Mcevoy | Dentist | 11805 Nw Cedar Falls Dr Ste 101, Portland, OR 97229-2780 | 2018-07-24 |
| Find all providers in PORTLAND | ||||
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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.