Larson, Ronald K

Larson, Ronald K is an sole proprietor health care provider with primary practice located at 10150 Se 32Nd Ave , Milwaukie OR 97222-6516. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Larson, Ronald K can be contacted via phone (503) 513-8350.

Contact Information

Primary practice address
10150 Se 32Nd Ave Milwaukie OR 97222-6516
Phone: (503) 513-8350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X MD15506 Oregon
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD15506 Oregon

Profile Details

NPI number 1508897422
LBN Legal business name Larson, Ronald K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Nov 29th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508897422 NPPES
Oregon Other MD15506 STATE LICENSE
Oregon MEDICAID 063180 STATE LICENSE
Oregon Other R0000WCTBS STATE LICENSE

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