MR. JOHN BRYON LARSEN (NPI# 1790924264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790924264 |
Entity Type | Individual |
Full Name | MR. JOHN BRYON LARSEN |
Credential | B.S. |
Practice Address |
805 Ne Reservoir Ln Toledo OR 97391-1335 |
Practice Telephone | 5413362254 |
Practice Fax Number | 5413361803 |
Mailing Telephone | 5413362254 |
Mailing Fax Number | 5413361803 |
Enumeration Date | 2009-02-06 |
Last Update Date | 2009-02-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | PRIVATE NONPROFIT | 93-0698327 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538422118 | John Kenyon Larsen | Physician Assistant | 1470 Medical Pkwy Ste 265, Carson City, NV 89703-4648 | 2012-06-19 |
1386617785 | John W Larsen Jr. | Obstetrics & Gynecology | 575 S 70th St Ste 405, Lincoln, NE 68510-2471 | 2006-02-08 |
1013154442 | John David Larsen | Social Worker | 934 S Main St, Layton, UT 84041-7135 | 2009-01-07 |
1578610739 | John Mark Larsen | Neuromusculoskeletal Medicine, Sports Medicine | 1700 Lombard St, Suite 110, Oxnard, CA 93030-8211 | 2007-01-03 |
1700974169 | John G Larsen | Pediatrics | 1245 Park Ave, C/o Uptown Pediatrics, New York City, NY 10128 | 2006-10-11 |
1265543995 | John A. Larsen | Psychologist | 5350 W 94th Ter, Suite 204, Prairie Village, KS 66207-2504 | 2006-08-31 |
1497863401 | John W Larsen | Otolaryngology | 490 S Maple St, Suite 205, Waconia, MN 55387-1760 | 2006-08-29 |
1932128576 | John A. Larsen | Anesthesiology | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2006-07-18 |
1760425128 | John Brent Larsen | Nurse Anesthetist, Certified Registered | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 | 2006-06-14 |
Street Address |
805 NE RESERVOIR LN |
City | TOLEDO |
State | OR |
Zip Code | 97391-1335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164546339 | Ray Allan Burleigh | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2007-03-16 |
1093035958 | Benjamin Williams | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2010-06-02 |
1841518875 | Erin Christian Detrick | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2010-05-14 |
1821223066 | Vanessa Johnson | Contractor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-05-18 |
1508006115 | Sandee D Penter | Contractor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-02-23 |
1972742443 | Susan Miller | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-02-06 |
1609015171 | Linda Rae Sorokin | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-02-06 |
1659510238 | Wade Horton Cockburn | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-02-05 |
1427297050 | Zann Marie Johnson | Contractor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-02-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851626360 | County of Lincoln | Clinic/Center | 1800 Ne Sturdevant Rd, Toledo, OR 97391 | 2009-10-16 |
1891936613 | Shahna Lynn Ashard | Counselor | 980 Se Reservoir Lane, Toledo, OR 97391 | 2009-03-09 |
1568543692 | Samaritan Pacific Health Services, Inc. | Clinic/Center | 199 West Highway 20, Toledo, OR 97391 | 2006-10-17 |
1043328768 | Gregory E Herkert | Dentist | 680 W Hwy 20, Toledo, OR 97391 | 2006-08-25 |
1134163496 | Dennis L. Kauffman | Family Medicine | 1744 Nw Business Hwy 20, Toledo, OR 97391 | 2006-06-16 |
1699854539 | Bruce C. Parsons | Optometrist | 680 W Highway 20, Toledo, OR 97391-0190 | 2006-11-02 |
1174906150 | Ryan Allan Millet | Dentist | 680 W Highway 20, Toledo, OR 97391-1125 | 2015-07-08 |
1982022000 | Mikes Mercantile Co | Pharmacy | 722 W Highway 20, Toledo, OR 97391-1128 | 2014-04-04 |
1902809502 | Uri Z Goldberg | Family Medicine | 199 W Highway 20, Toledo, OR 97391-1242 | 2005-05-27 |
1164863536 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 199 W Highway 20, Room 1, Toledo, OR 97391-1242 | 2013-07-12 |
Find all providers in zip 97391 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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---|---|---|---|---|
1023637097 | Cindy Kern | Counselor | 6629 W Central Ave Ste 1, Toledo, OH 43617-1098 | 2020-04-10 |
1982238812 | Telewebmd LLC | Counselor | 7310 Kings Park Rd, Toledo, OH 43617-2323 | 2020-02-29 |
1558906511 | Lejai Darrington | Counselor | 1014 Parkside Blvd, Toledo, OH 43607-3776 | 2019-11-14 |
1336619246 | Saving Lost Souls | Counselor | 1301 Broadway St Ste 1313, Toledo, OH 43609-2809 | 2018-12-04 |
1548746233 | Danyelle Merriweather | Counselor | 3725 Willow Run Dr, Toledo, OH 43607-2648 | 2018-07-16 |
1649783036 | Toni Epperson | Counselor | 1827 Eastgate Rd, Toledo, OH 43614-3034 | 2017-11-08 |
1205379138 | Counseling and Assessment Center | Counselor | 3608 Orchard Trail Dr, Toledo, OH 43606-1149 | 2016-11-26 |
1790228617 | Terri Kern | Counselor | 3840 Woodley Rd Ste A, Toledo, OH 43606-1178 | 2016-11-25 |
1366999427 | Jason Torof | Counselor | 1830 Adams St, Toledo, OH 43604-4428 | 2016-09-07 |
1457733578 | Rebecca Sue Lester-black | Counselor | Jobst Tower Suite 640, 2109 Hughes Drive, Toledo, OH 43606 | 2015-06-25 |
Find all providers in TOLEDO |
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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.