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William David Larson, MD

Ophthalmology in Tualatin, OR. Individual provider (NPI-1).

NPI number1083697635
StatusActive
Last updated in NPPESMay 29, 2013

Details

NPI
1083697635
Entity type
Individual (NPI-1)
Name
William David Larson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 28, 2005
Last updated
May 29, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X OphthalmologyMD10715ORYes

Other names

  • W David Larson (Professional Name)

Practice location

19250 Sw 65th Ave
Ste 215
Tualatin, OR 97062-7452

Phone 503-692-3630 · Fax 503-692-3420

Mailing address

6420 Sw Macadam Ave
Suite 216
Portland, OR 97239-3507

Phone 503-244-8601 · Fax 503-244-3013

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Other Ophthalmology Physician providers in Tualatin, OR

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