Joshua Larsen

NPI 1053199448 · on the registry since 2023

Practice

Address: 6400 Se Lake Rd Ste 175
Portland, OR 97222
Phone: (628) 250-7500
Organisation at this address: Northwest Iv, Llc
Deep Insight Pllc
Terry L Isom Dmd,Pc
Deep Insight Group Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 61

Registry record

Primary taxonomy: 106S00000X
106S00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon