BRANDON H LARSEN (NPI# 1730532573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730532573 |
| Entity Type | Individual |
| Full Name | BRANDON H LARSEN |
| Credential | FNP, RN |
| Practice Address |
4212 Se Division St Ste 100 Portland OR 97206-1680 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5032387166 |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 704261 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
341515-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 434 W 120th St, Apt 4j, New York, NY 100276710 | 4058168936 | |
| 915 Westchester Ave, Bronx, NY 104593009 | 7187641570 | 3473467774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487969788 | Brandon Lee Larsen | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2010-08-11 |
| 1649409681 | Brandon Todd Larsen | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2009-07-13 |
| Street Address |
4212 SE DIVISION ST STE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-1680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467498386 | Dustin Dandliker | Case Manager/Care Coordinator | 4212 Se Division St Ste 100, Portland, OR 97206-1680 | 2006-06-20 |
| 1972119303 | Julia Farney | Counselor | 4212 Se Division St Ste 100, Portland, OR 97206-1680 | 2020-09-21 |
| 1053921072 | C Alyse La Monte | Registered Nurse | 4212 Se Division St Ste 100, Portland, OR 97206-1680 | 2020-08-04 |
| 1629691399 | Kristin A Erickson | Counselor | 4212 Se Division St Ste 100, Portland, OR 97206-1680 | 2020-05-28 |
| 1689209504 | Tigist Y Fantaye | Counselor | 4212 Se Division St Ste 100, Portland, OR 97206-1680 | 2020-03-11 |
| 1104278449 | Allison D Lea | Counselor | 4212 Se Division St Ste 100, Portland, OR 97206-1680 | 2016-07-11 |
| 1336545441 | Brianna Lynn Ganz | Counselor | 4212 Se Division St Ste 100, Portland, OR 97206-1680 | 2014-11-17 |
| 1639572548 | Nigel Patrick Gilmer | Case Manager/Care Coordinator | 4212 Se Division St Ste 100, Portland, OR 97206-1680 | 2014-10-06 |
| 1093143596 | Paul Galvin | Counselor | 4212 Se Division St Ste 100, Portland, OR 97206-1680 | 2013-10-18 |
| 1528357282 | Alyssa Torby | Psychiatry & Neurology | 4212 Se Division St Ste 100, Portland, OR 97206-1680 | 2011-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| 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.