Larson, Krista Nicole
Larson, Krista Nicole is an individual health care provider with primary practice located at 301 Ne Knott St Ste 4102 , Portland OR 97212-3014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Larson, Krista Nicole can be contacted via phone (305) 562-0588.Contact Information
Primary practice address
301 Ne Knott St Ste 4102
Portland OR 97212-3014
Phone: (305) 562-0588
Fax: (352) 265-1107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD200083 | Oregon |
Profile Details
| NPI number | 1245693902 |
|---|---|
| LBN Legal business name | Larson, Krista Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2016 |
| Last updated | Jan 13th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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